Jeanne Southern, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

H0834 Issued in TX

Practice address

5411 Carew St
Houston, TX 77096-1247

Phone

(713) 253-9492

NPI assigned

Jul 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Occupational and Family Medicine of South Texas

  • Family Medicine Physician
  • Pasadena, TX
  • NPI 1780639138
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255364527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 CAREW ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961247",
            "telephone_number": "713-253-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 CAREW ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961247",
            "telephone_number": "713-253-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHERN",
        "first_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "H0834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Pain Institute, P.a. (Texas Pain Institute)
• Southern Pain Institute, P.a. (Texas Pain Institute)
• Southern Texas Physicians Network, Inc. (Ulises Baltazar, MD)
• Southern Tier Home Infusion Inc (Pharmacy Innovations)
• Southern Vision Center, P.a. (Copperfield Texas State Optical)
• Southgate Dental PLLC
• Southland Healthcare Services Inc (Ajoy Healthcare Pharmacy)
• Southland Healthcare Services, Inc (Southland Hospice)
• Southland United Health Care Services Inc (Total Home Health Galveston)
• Southland United Health Care Services, Inc (Total Home Health Galveston)

• General Practice Physician in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.