Organization Active NPI

Jana M Winberg Mdpa

  • Family Medicine Physician
  • Kountze, TX
National Provider Identifier
1285646323
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L4815 Issued in TX
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, MDNPI 1164416285
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.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 (2 organizations share this tax ID)

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X L4815 TX Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
4556334OtherTXCIGNA
1696619-01MedicaidTX
7092365OtherTXAETNA
0048LXOtherTXBCBS

Other names 1

NPPES NPI Registry
  • Kountze Family Medicine Clinic Doing business as

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.

Verify at the official NPI Registry.