Jircik Medical Group, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JIRCIK MEDICAL GROUP, PLLC

Practice address

12001 South Fwy Ste 304
Burleson, TX 76028-7215

Phone

(817) 551-5400

Fax

(817) 568-0961

NPI assigned

Sep 20, 2019

Organization subpart

Yes

Parent organization

JIRCK MEDICAL GROUP, PLLCAs reported in NPPES

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

Authorized official

Name

Frank JircikNPI 1497711840

Title

Manager

Phone

(181) 755-1540

Specialties & licenses 2

Addresses

Other names 1

• Jircik Medical Group Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

Jircik Medical Group

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Paul Jircik, MD

  • Internal Medicine Physician
  • Burleson, TX
  • NPI 1497711840
  Medicare reassignment Care Compare group NPD Authorized official
• Precious J Marquart, M.D.

  • Family Medicine Physician
  • Burleson, TX
  • NPI 1063432847
  Medicare reassignment Care Compare group NPD
• Cari Naukkarinen, ANP

  • Family Nurse Practitioner
  • Burleson, TX
  • NPI 1649727595
  Medicare reassignment Care Compare group NPD
• Jessica Leigh Nelson, APRN

  • Family Nurse Practitioner
  • Burleson, TX
  • NPI 1548787492
  Medicare reassignment Care Compare group NPD
• Brenna Ann Young, FNP

  • Family Nurse Practitioner
  • Cleburne, TX
  • NPI 1346828845
  Medicare reassignment Care Compare group NPD
• Aaron Everett Mitschke, FNP

  • Family Nurse Practitioner
  • Liberty, ME
  • NPI 1831450063

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1609427707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 SOUTH FWY STE 304",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287215",
            "telephone_number": "817-551-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 SOUTH FWY STE 304",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287215",
            "telephone_number": "817-551-5400",
            "fax_number": "817-568-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIRCIK MEDICAL GROUP, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JIRCK MEDICAL GROUP, PLLC",
        "enumeration_date": "2019-09-20",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "JIRCIK",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "181-755-1540"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "817-568-0961",
            "affiliation": "N",
            "endpointDescription": "EMR Fax",
            "address_1": "12001 South Fwy Ste 304",
            "city": "Burleson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760287215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jircik Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason a. Seiden, M.D., P.a.
• JCZ Consulting LLC
• Jeffrey Ratusznik MD PA
• Martha Jepchirchir, RN
• Isaac Beltran Jimenez, RN
• Frank Paul Jircik, MD
• JM Wellness & Aesthetics LLC
• Cynthia Jochum Biffel, LMT
• Joe M Etter DO PA
• John a. Malonis, M.D., P.a.

• Clinic/Center in Burleson, TX
• Providers in Burleson, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.

Verify at the official NPI Registry.