Active NPI
Robert J. Falconer, MD, PA
- Surgery Physician
- Palestine, TX
National Provider Identifier
1487784690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- L4830
- Legal business name
- ROBERT J. FALCONER, MD, PA
- Practice address
- 123 Medical Dr
Suite a
Palestine, TX 75801-8510 - Phone
- (903) 729-6010
- Fax
- (903) 729-6886
- NPI assigned
- Mar 6, 2007
- 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
- Robert J Falconer, M.D.
- Title
- Owner Physician
- Phone
- (903) 729-6010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | L4830 | TX | Primary |
Addresses
Primary practice location
123 Medical Dr
Suite a
Palestine, TX 75801-8510
Mailing address
123 Medical Dr
Suite a
Palestine, TX 75801-8510
Phone (903) 729-6010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0032JJ | Other | TX | BCBS TX PROVIDER # |
| 154185601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Palestine, TX
- NPI 1235193848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193961600000",
"number": "1487784690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 MEDICAL DR",
"address_2": "SUITE A",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758018510",
"telephone_number": "903-729-6010",
"fax_number": "903-729-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 MEDICAL DR",
"address_2": "SUITE A",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758018510",
"telephone_number": "903-729-6010",
"fax_number": "903-729-6886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT J. FALCONER, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2007-11-02",
"status": "A",
"authorized_official_last_name": "FALCONER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER PHYSICIAN",
"authorized_official_telephone_number": "903-729-6010",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "TX",
"license": "L4830",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX PROVIDER #",
"identifier": "0032JJ",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154185601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palestine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.