Individual provider Active NPI

John Cooper Howard, M.D.

  • Family Medicine Physician
  • Clarendon, TX
National Provider Identifier
1255323770
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G-6309 Issued in TX
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

Updated by the provider on Apr 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
123790106MedicaidTX
115488101OtherTXFIRSTCARE
121515OtherTXSUPERIOR
84130Y / 0044EBOtherTXBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091231000032 TX Practitioner - Family PracticePractitioner - Preventive MedicinePractitioner - General Practice 3971575739 Practice locations: Clarendon, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16757LAMDMental Health Counselor
G-6309TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Sources for this page

Verify at the official NPI Registry.