Justin W Powell, D.O.
Individual provider Active NPI Pediatrics Physician · Hallettsville, TX
NPI 1487663191 · NPPES record last updated Jul 14, 2014
Key facts
- NPI
- 1487663191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- TXBJ8722 (TX)
- Practice address
- 147 County Road 129
Hallettsville, TX 77964-5186 - Phone
- (361) 798-2112
- Fax
- (361) 798-2112
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 38
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Fort Worth School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dewitt Medical District
Victoria Hospitalist Associates, LLC
Practice addresses (Care Compare)
2550 N Esplanade
Cuero Community Hospital
Cuero, TX 78954-4736
Phone (361) 275-6191
2550 N Esplanade St
Cuero Regional Hospital
Cuero, TX 77954-4736
Phone (361) 275-6191
506 E San Antonio St
De Tar Navarro Hospital
Victoria, TX 77901-6060
Phone (361) 575-7441
Hospital & facility affiliations
- Cuero Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100706000335 | TX | Practitioner - Internal Medicine |
2264446939 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TXBJ8722 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendrick Provider Network | Family Medicine | Current |
Accepting new patients |
| Concord Medical Group PLLC | Emergency Medicine | Current |
Accepting new patients |
| Ballinger Memorial Hospital District | Emergency Medicine | Current | Accepting new patients |
| Ballinger Memorial Hospital District | Current |
Accepting new patients | |
| Southwest Medical Associates, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Texas Emergency Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Parkside Family Clinic, PA | Family Medicine | Current | Accepting new patients |
| Victoria Hospitalist Associates, LLC | Current |
Accepting new patients | |
| Dewitt Medical District | Emergency Medicine | Current |
Accepting new patients |
| Hendrick Provider Network | Current |
Accepting new patients | |
| Ballinger Memorial Hospital District | Current |
Accepting new patients | |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current |
Accepting new patients |
| Dewitt Medical District | Past | Accepting new patients | |
| Lavaca Hospital District | Past | Accepting new patients | |
| Lavaca Hospital District | Past | Accepting new patients | |
| Lavaca Hospital District | Past | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| Lavaca Family Health Clinic | Family Medicine | Past | Accepting new patients |
| Kocurek and James Clinic, PLLC | Family Medicine | Past | Accepting new patients |
Locations
5302 Buffalo Gap Rd
Ste 104
Abilene, TX 79606
Phone (325) 307-6226
1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020
608 Avenue B
Ballinger, TX 76821
Phone (325) 365-2531
2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532
304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601
1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
113 W Main St
Kenedy, TX 78119
Phone (830) 583-0612
40 East Ave
Schulenburg, TX 78956
Phone (866) 741-3668
506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445
Interoperability endpoints
- justin.powell.1@6815.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TXBJ8722 | TX | |
| Internal Medicine Physician | 207R00000X | TXBJ8722 | TX | |
| Pediatrics Physician | 208000000X | TXBJ8722 | TX | Yes |
| Emergency Medicine Physician | 207P00000X | J8722 | TX |
Addresses
Primary practice location
147 County Road 129
Hallettsville, TX 77964-5186
Mailing address
PO Box 801
Hallettsville, TX 77964-0801
Phone (361) 798-2112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111956205 | Medicaid | TX |
Other providers in Hallettsville, TX
- Kacie Ovard
- Emily Parkinson
- Lauren Pasak
- Ashlyn Ann Patek
- Brian Glen Popp
- Benjamin Louis Psencik
- Lisa G Rosales
- Rural Ambulance Service, Inc
- Frank Saunders
- Taylor Schindler
All providers in Hallettsville, TX · Pediatrics Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.