Individual provider Active NPI

John Allan Neese, P.A.

  • Physician Assistant
  • Palacios, TX
National Provider Identifier
1295849487
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00126 Issued in TX
Practice address
310 Henderson St
Palacios, TX 77465-3950
Phone
(361) 972-3664
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00126 TX Primary

Addresses

Primary practice location

310 Henderson St
Palacios, TX 77465-3950

Mailing address

101 Avenue F N
Bay City, TX 77414-3167
Phone (979) 245-2008

Other practice location 1

307 Green Ave Ste A
Palacios, TX 77465-3213
Phone (979) 245-2008

Other identifiers 4

IdentifierTypeStateIssuer
H08GT84501OtherTXBCBS OF TX
356423904MedicaidTX
4580969OtherAETNA INS
12007968OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL athenanet.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00126TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Wharton County Hospital District Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Twin Fountains Urgent Care Center Past Accepting new patients
South Texas Medical Clinics, P.a. Past Accepting new patients
W. Wharton County Hospital District D B a Mid Coast Medical Clinic Pal Past Accepting new patients

Organizations & group practices 5

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1295849487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVENUE F N",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774143167",
            "telephone_number": "979-245-2008",
            "fax_number": "979-245-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HENDERSON ST",
            "city": "PALACIOS",
            "state": "TX",
            "postal_code": "774653950",
            "telephone_number": "361-972-3664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Green Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Palacios",
            "state": "TX",
            "postal_code": "774653213",
            "country_code": "US",
            "telephone_number": "979-245-2008",
            "fax_number": "979-314-7164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEESE",
        "first_name": "JOHN",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "H08GT84501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "356423904",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS",
            "identifier": "4580969",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12007968",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "athenanet.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "API",
            "address_1": "1700 Golden Ave",
            "city": "Bay City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774143122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palacios, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.