Jansen S Todd, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E9439 Issued in TX

Practice address

1702 E Denman Ave
Lufkin, TX 75901-6110

Phone

(936) 693-1224

Fax

(693) 632-9322

NPI assigned

Oct 17, 2006

Last updated

Apr 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JS Todd & Associates

  • Family Medicine Physician
  • Lufkin, TX
  • NPI 1336295336
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1235210519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 E DENMAN AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016110",
            "telephone_number": "936-693-1224",
            "fax_number": "693-632-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 E DENMAN AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016110",
            "telephone_number": "936-693-1224",
            "fax_number": "693-632-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "JANSEN",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E9439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114317402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PIN",
            "identifier": "87X171",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• TMC Provider Group, PLLC (Texas MedClinic)
• Macie Tobar, CF-SLP
• Lindsey Tobias, LCSW
• Carol Lynn Tobleman, COTA
• David L Todd, MD
• Patricia N. Todd, MA, LPC
• Shawn Patrick Todd, D.O.
• Teresa Marie Todd, MD
• Cherie Ann Torre, PT
• Albelardo Victor Torres Jr.

• Family Medicine Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.