Active NPI
John Cooper Howard, M.D.
- Family Medicine Physician
- Clarendon, TX
National Provider Identifier
1255323770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G-6309
- Practice address
- 1 Medical Center D
One Medical Center Dr.
Clarendon, TX 79226-0300 - Phone
- (806) 874-3531
- Fax
- (806) 874-2244
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G-6309 | TX | Primary |
Addresses
Primary practice location
1 Medical Center D
One Medical Center Dr.
Clarendon, TX 79226-0300
Mailing address
PO Box K
One Medical Center Drive
Clarendon, TX 79226-0300
Phone (806) 874-3531
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123790106 | Medicaid | TX | |
| 115488101 | Other | TX | FIRSTCARE |
| 121515 | Other | TX | SUPERIOR |
| 84130Y / 0044EB | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091231000032 | TX | Practitioner - Family Practice | 3971575739 | Practice locations: Clarendon, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16757 | LA | MD | Mental Health Counselor |
| G-6309 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarendon Family Medicine PLLC | Past | Accepting new patients | |
| Donley County Medical Group PA | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Clarendon, TX
- NPI 1497458319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1255323770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX K",
"address_2": "ONE MEDICAL CENTER DRIVE",
"city": "CLARENDON",
"state": "TX",
"postal_code": "792260300",
"telephone_number": "806-874-3531",
"fax_number": "806-874-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER D",
"address_2": "ONE MEDICAL CENTER DR.",
"city": "CLARENDON",
"state": "TX",
"postal_code": "792260300",
"telephone_number": "806-874-3531",
"fax_number": "806-874-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "JOHN",
"middle_name": "COOPER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "G-6309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123790106",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "115488101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR",
"identifier": "121515",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "84130Y / 0044EB",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarendon, TX
- Clarendon Skilled Care LTD (Community Care Center of Clarendon)
- Donley County Hospital District (Associated Ambulance Authority)
- Donley County Medical Group PA
- Donley County RHC Corporation (Clarendon Family Medical Ctr)
- Brandon David Frausto, PHARM.D.
- Hwatch of the TX Panhandle, LLC (RoadRunner HomeCare)
- Land Pharmacy LLC (Mike's Pharmacy)
- Marvin Gill & Assoc (Med Link Services)
- Marvin Gill & Associates Inc. (Med Link Services)
- Michael H Butts (Mikes Gibson Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.