Jerry W. Sinclair, M.D., PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G3790 Issued in TX

Legal business name

JERRY W. SINCLAIR, M.D., PA

Practice address

1680 Antilley Rd
Suite 320
Abilene, TX 79606-5267

Phone

(325) 691-1122

NPI assigned

Oct 19, 2009

Last updated

May 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denise Jones

Title

Administrator

Phone

(325) 695-4133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1477889947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 ANTILLEY RD",
            "address_2": "SUITE 320",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065267",
            "telephone_number": "325-691-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ANTILLEY RD",
            "address_2": "SUITE 320",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065267",
            "telephone_number": "325-691-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY W. SINCLAIR, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "325-695-4133"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "G3790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.