NPIMap

Organization Active NPI

Elizabeth a Jekot MD PA

  • Specialist
  • Richardson, TX
National Provider Identifier
1376699751
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H8155 Issued in TX
Legal business name
ELIZABETH A JEKOT MD PA
Practice address
3301 E Renner Rd
Ste. 100
Richardson, TX 75082-1801
Phone
(214) 442-7050
Fax
(214) 442-7075
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Dr. Elizabeth A Jekot, MDNPI 1891773933
Title
Medical Director/Owner
Phone
(214) 442-7050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X H8155 TX Primary

Addresses

Primary practice location

3301 E Renner Rd
Ste. 100
Richardson, TX 75082-1801

Mailing address

PO Box 832265
Richardson, TX 75083-2265
Phone (214) 442-7050

Other identifiers 3

IdentifierTypeStateIssuer
00R68ROtherTXBCBS
084868102MedicaidTX
189967602MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Elizabeth a Jekot MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1376699751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 832265",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750832265",
            "telephone_number": "214-442-7050",
            "fax_number": "214-442-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E RENNER RD",
            "address_2": "STE. 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750821801",
            "telephone_number": "214-442-7050",
            "fax_number": "214-442-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH A JEKOT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "JEKOT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "214-442-7050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H8155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00R68R",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084868102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189967602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.