Jeffrey D Decaprio MD PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

K0284 Issued in TX

Legal business name

JEFFREY D DECAPRIO MD PA

Practice address

2717 Summerhill Rd
Texarkana, TX 75503-3957

Phone

(903) 794-0022

Fax

(903) 794-0023

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey D Decaprio MD, MD

Title

Owner

Phone

(903) 255-0002

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey David Decaprio, MD

  • Vascular Surgery Physician
  • Texarkana, TX
  • NPI 1447255229
  NPD
• Theresa Marie Labbe', MD

  • Obstetrics & Gynecology Physician
  • Corpus Christi, TX
  • NPI 1356346134
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1235283425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6124",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755056124",
            "telephone_number": "903-255-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033957",
            "telephone_number": "903-794-0022",
            "fax_number": "903-794-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D DECAPRIO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "MD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D DECAPRIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-255-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "K0284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC AR",
            "identifier": "8P149",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC TX",
            "identifier": "0035MH",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "030800221800",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15668002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DD1753",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James L Jean, M.D.
• Jeanne a. Field Miller D/B/a Summerhill Counseling Center
• Jeanne a. Field Miller Doing Business As Summerhill Counseling Center
• Jeff P Young MD PA
• Jeffory F Thomas, MD PA
• Jeffrey L. Martin DDS,P.a.
• Kacey D Jenkins
• Kendall Jenkins
• Chad Allen Jennings, MS,OTR
• Cindy Jennings, MSCCCSLP

• Vascular Surgery Physician in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.