Organization Active NPI

Jay Locke MD PA

  • Radiation Oncology Physician
  • Harlingen, TX
National Provider Identifier
1396856092
Registry record updated Nov 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35085207 Issued in OH
Legal business name
JAY LOCKE MD PA
Practice address
2224 S 77 Sunshine Strip
Suite 96 Box 193
Harlingen, TX 78550-8305
Phone
(937) 689-5169
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2014

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

Authorized official

Name
Dr. Jay E. Locke, M.D.
Title
Medical Director
Phone
(937) 689-5169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X 35085207 OH Primary

Addresses

Primary practice location

2224 S 77 Sunshine Strip
Suite 96 Box 193
Harlingen, TX 78550-8305

Mailing address

2224 S 77 Sunshine Strip
Suite 96 Box 193
Harlingen, TX 78550-8305
Phone (937) 689-5169

Other identifiers 6

IdentifierTypeStateIssuer
201572741OtherTRICARE
201572741OtherMEDICAL MUTUAL
201572741027OtherCARESOURCE
2250942MedicaidOH
P00201720OtherRR MEDICARE
000000353030OtherANTHEM

National Provider Directory

National Provider Directory

Locations

2224 S 77 Sunshine Strip
Ste 96
Harlingen, TX 78550
Phone (937) 689-5169

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415404800000",
    "number": "1396856092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 S 77 SUNSHINE STRIP",
            "address_2": "SUITE 96 BOX 193",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508305",
            "telephone_number": "937-689-5169",
            "fax_number": "888-491-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 S 77 SUNSHINE STRIP",
            "address_2": "SUITE 96 BOX 193",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508305",
            "telephone_number": "937-689-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY LOCKE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-11-08",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "937-689-5169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35085207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "201572741",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "201572741",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "201572741027",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2250942",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00201720",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000353030",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2014; 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.