Active NPI
Jay Locke MD PA
- Radiation Oncology Physician
- Harlingen, TX
National Provider Identifier
1396856092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 35085207
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201572741 | Other | TRICARE | |
| 201572741 | Other | MEDICAL MUTUAL | |
| 201572741027 | Other | CARESOURCE | |
| 2250942 | Medicaid | OH | |
| P00201720 | Other | RR MEDICARE | |
| 000000353030 | Other | ANTHEM |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Radiation Oncology Physician
- Beaumont, TX
- NPI 1750303160
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.