Active NPI
Jaaca Medical
- Internal Medicine Physician
- Tyler, TX
National Provider Identifier
1235487638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M3109
- Legal business name
- JAACA MEDICAL
- Practice address
- 9334 Chisholm TRL
Tyler, TX 75703-0407 - Phone
- (903) 521-9861
- NPI assigned
- Aug 16, 2012
- Last updated
- Aug 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sanford Watkins
- Title
- Owner
- Phone
- (903) 521-9861
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | M3109 | TX | Primary |
Addresses
Primary practice location
9334 Chisholm TRL
Tyler, TX 75703-0407
Mailing address
PO Box 6008
Tyler, TX 75711-6008
Phone (903) 521-9861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992781090 | Other | TX | INDIVIDUAL NPI |
Other names 1
- SANFORD WATKINS, M.D.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Longview, TX
- NPI 1992781090
-
- Physician Assistant
- Longview, TX
- NPI 1447534854
-
- Family Nurse Practitioner
- Longview, TX
- NPI 1144610106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345075200000",
"number": "1235487638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6008",
"city": "TYLER",
"state": "TX",
"postal_code": "757116008",
"telephone_number": "903-521-9861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9334 CHISHOLM TRL",
"city": "TYLER",
"state": "TX",
"postal_code": "757030407",
"telephone_number": "903-521-9861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAACA MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-16",
"last_updated": "2012-08-16",
"status": "A",
"authorized_official_last_name": "WATKINS",
"authorized_official_first_name": "SANFORD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "903-521-9861",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "M3109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1992781090",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SANFORD WATKINS, M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Tyler, TX
- J. David Johnson,MD,PA
- J. L. Miguez, Inc., Dba Newsound Hearing Centers (J. L. Miguez, Inc., dba Hear Life Hearing Care)
- J. Scott Ellis, D.D.S.
- J. Stuart Crutchfield, M.D.,P.a.
- Jaaca Management Services LLC
- Ashlyn Jacinto, SLP
- Jack Jones Hearing Centers, Inc (AudioNova)
- John Daniel Jackman, MD
- Dominique Jackquet, LPC
- Brandi Jackson, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.