Kenneth A Jurist, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

P4325 Issued in TX

Practice address

2720 North University Drive
Nacogdoches, TX 75965

Phone

(936) 205-9824

NPI assigned

Nov 4, 2005

Last updated

Jun 4, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic SurgeryAlso: Sports Medicine

Education

University of Maryland School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Texas Oncology PA

  • Medical Oncology Physician
  • El Paso, TX
  • NPI 1811944101
  Medicare reassignment Care Compare group NPD
• BHS Physicians Network, Inc

  dba Surgical Oncology Associates of South Texas

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1598958431
  Medicare reassignment NPD
• BHS Physicians Network, Inc

  dba Orthopedic Performance Institute

  • Durable Medical Equipment & Medical Supplies
  • Boerne, TX
  • NPI 1730079286
  NPD
• Texas Oncology PA

  • Medical Oncology Physician
  • Pearland, TX
  • NPI 1912174350
  NPD
• Performance Orthopedics PLLC

  • Durable Medical Equipment & Medical Supplies
  • Bingham Farms, MI
  • NPI 1316022726
  NPD (past)
• Performance Orthopedics PLLC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Bingham Farms, MI
  • NPI 1720160963
  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1538150776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 NORTH UNIVERSITY DRIVE",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "75965",
            "telephone_number": "936-205-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 NORTH UNIVERSITY DRIVE",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "75965",
            "telephone_number": "936-205-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURIST",
        "first_name": "KENNETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "P4325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1910708",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Joines
• Carl R Jones, DO
• Hannah Wagley Jones, LPC
• Je'Lisa Nicole Jordan, MS, CCC/SLP
• JP Ordered Steps Incorporated (Caring Hands)
• Laxman R Kalvakuntla, M.D.
• Joseph P Kartye Jr., PH.D.
• Kathryn M. Lewis, M.D., P.a.
• Erin Elizabeth Keeling
• Lisa Kennedy, RD, LD

• Orthopaedic Surgery Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.