Active NPI
Jane C Angel, MD
- Specialist
- Beaumont, TX
National Provider Identifier
1275500647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- K3065
- Practice address
- 5035 Oakmont Dr
Beaumont, TX 77706-7640 - Phone
- (409) 924-7391
- NPI assigned
- Mar 3, 2006
- Last updated
- Feb 14, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | K3065 | TX | Primary |
Addresses
Primary practice location
5035 Oakmont Dr
Beaumont, TX 77706-7640
Mailing address
5035 Oakmont Dr
Beaumont, TX 77706-7640
Phone (409) 924-7391
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K3065 | Other | TN | MEDICAL LICENSE |
| P081Y8470 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Oct 1, 2012 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K3065 | TX | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Texas OB GYN Associates PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Beaumont, TX
- NPI 1245361369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1275500647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5035 OAKMONT DR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777067640",
"telephone_number": "409-924-7391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5035 OAKMONT DR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777067640",
"telephone_number": "409-924-7391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGEL",
"first_name": "JANE",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "K3065",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "K3065",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P081Y8470",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
- Anesthesia Associates Pain Institute PLLC
- Anesthesia Premier Services PA
- Ilse Alejandra Anfoso Valdez, RD
- Angel Care Adult Daycare
- Ian F Angel, M.D.
- Angela's Outreach Community Center
- Angela's Outreach Community Center, Inc
- Sarah Zafar Ansari, MS, CCC-SLP
- Leslie F Anslem, N.P.
- Jeffrey Scott Anthony, CFNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.