Active NPI
Jana M Winberg Mdpa
- Family Medicine Physician
- Kountze, TX
On this page
- Key facts
- Authorized official
- Other NPIs on the same Medicare enrollment1
- Subparts reporting this organization as parent1
- Corporate family (same tax ID)1
- Practitioners3
- Medicare participation
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other identifiers4
- Other names1
- NPI Registry JSON
- Other providers in Kountze, TX
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L4815
- Legal business name
- JANA M WINBERG MDPA
- Practice address
- 345 S Pine St
Kountze, TX 77625-9329 - Phone
- (409) 246-1014
- Fax
- (409) 246-1029
- NPI assigned
- Aug 13, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Jana Marie Winberg, MD
- Title
- President
- Phone
- (409) 246-1014
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Family Medicine Physician
- Kountze, TX
- NPI 1962696757
Corporate family (same tax ID) 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Kountze, TX
- NPI 1962696757
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Kountze, TX
- NPI 1508108747
-
- Family Nurse Practitioner
- Kountze, TX
- NPI 1912909904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041101000804 | TX | Part B Supplier - Clinic/Group Practice | 2264494368 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Beaumont, TX; Silsbee, TX; Kountze, TX; Beamont, TX |
National Provider Directory
National Provider Directory- Tax ID family
- Jana M Winberg Mdpa
Locations
3080 College St
Fl 5
Beaumont, TX 77701
Phone (409) 212-5000
3450 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-7550
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L4815 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
345 S Pine St
Kountze, TX 77625-9329
Mailing address
PO Box 727
Kountze, TX 77625-0727
Phone (409) 246-1014
Other identifiers 4
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4556334 | Other | TX | CIGNA |
| 1696619-01 | Medicaid | TX | |
| 7092365 | Other | TX | AETNA |
| 0048LX | Other | TX | BCBS |
Other names 1
NPPES NPI Registry- Kountze Family Medicine Clinic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 2, 2010.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278028800000",
"number": "1285646323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 727",
"city": "KOUNTZE",
"state": "TX",
"postal_code": "776250727",
"telephone_number": "409-246-1014",
"fax_number": "409-246-1029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 S PINE ST",
"city": "KOUNTZE",
"state": "TX",
"postal_code": "776259329",
"telephone_number": "409-246-1014",
"fax_number": "409-246-1029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANA M WINBERG MDPA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-13",
"last_updated": "2010-07-02",
"status": "A",
"authorized_official_last_name": "WINBERG",
"authorized_official_first_name": "JANA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "409-246-1014",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "L4815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4556334",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1696619-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7092365",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0048LX",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kountze Family Medicine Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kountze, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.