Organization Active NPI

John M Strayhorn MD PA

  • Cardiovascular Disease Physician
  • Texarkana, TX
National Provider Identifier
1457669335
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
H2815 Issued in TX
Legal business name
JOHN M STRAYHORN MD PA
Practice address
1002 Texas Blvd Ste 400
Texarkana, TX 75501-5113
Phone
(903) 794-3390
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Dr. John M Strayhorn, MD, PA
Title
Doctor
Phone
(903) 794-3390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X H2815 TX Primary

Addresses

Primary practice location

1002 Texas Blvd Ste 400
Texarkana, TX 75501-5113

Mailing address

1002 Texas Blvd Ste 400
Texarkana, TX 75501-5113
Phone (903) 794-3390

Other identifiers 1

IdentifierTypeStateIssuer
114818103MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1457669335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 TEXAS BLVD STE 400",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015113",
            "telephone_number": "903-794-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 TEXAS BLVD STE 400",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015113",
            "telephone_number": "903-794-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M STRAYHORN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "STRAYHORN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "903-794-3390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PA"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H2815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114818103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.