Active NPI
Gregory John Jaffers, M.D.
- Transplant Surgery Physician
- Temple, TX
National Provider Identifier
1568422772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- License
- F6783
- Practice address
- 2401 S 31St Street
Scott and White Hospital
Temple, TX 76508 - Phone
- (254) 724-9462
- Fax
- (254) 724-5832
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | F6783 | TX | |
| Transplant Surgery Physician | 204F00000X | F6783 | TX | Primary |
Addresses
Primary practice location
2401 S 31St Street
Scott and White Hospital
Temple, TX 76508
Mailing address
2401 S 31St Street
Scott and White Hospital
Temple, TX 76508
Phone (254) 724-9462
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1227464-02 | Other | TX | CSHCN |
| 020047407 | Other | TX | RR/MEDICARE |
| 1227464-03 | Medicaid | TX | |
| 83X693 | Other | TX | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1568422772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 S 31ST STREET",
"address_2": "SCOTT AND WHITE HOSPITAL",
"city": "TEMPLE",
"state": "TX",
"postal_code": "76508",
"telephone_number": "254-724-9462",
"fax_number": "254-724-5832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S 31ST STREET",
"address_2": "SCOTT AND WHITE HOSPITAL",
"city": "TEMPLE",
"state": "TX",
"postal_code": "76508",
"telephone_number": "254-724-9462",
"fax_number": "254-724-5832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFERS",
"first_name": "GREGORY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "F6783",
"primary": false
},
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "TX",
"license": "F6783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "1227464-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR/MEDICARE",
"identifier": "020047407",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1227464-03",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "83X693",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.