Organization Active NPI

Jason Balette MD PA

  • Surgery Physician
  • Woodlands, TX
National Provider Identifier
1609804681
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M2254 Issued in TX
Legal business name
JASON BALETTE MD PA
Practice address
9200 Pinecroft Dr
Ste 250
Woodlands, TX 77380-3279
Phone
(281) 419-8400
Fax
(281) 292-1972
NPI assigned
Jun 29, 2006
Last updated
Aug 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Jason Balette, MDNPI 1295762847
Title
Director
Phone
(281) 419-8400

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X M2254 TX Primary

Addresses

Primary practice location

9200 Pinecroft Dr
Ste 250
Woodlands, TX 77380-3279

Mailing address

9200 Pinecroft Dr
Ste 250
Woodlands, TX 77380-3279
Phone (281) 419-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061013000314 TX Part B Supplier - Clinic/Group Practice 5698771632 Receives reassigned benefits from 2 practitioners
Practice locations: The Woodlands, TX; Willis, TX; Shenandoah, TX; Houston, TX; Conroe, TX

National Provider Directory

National Provider Directory

Locations

1501 River Pointe Dr
Ste 200
Conroe, TX 77304
Phone (713) 335-2365

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1609804681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 PINECROFT DR",
            "address_2": "STE 250",
            "city": "WOODLANDS",
            "state": "TX",
            "postal_code": "773803279",
            "telephone_number": "281-419-8400",
            "fax_number": "281-292-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 PINECROFT DR",
            "address_2": "STE 250",
            "city": "WOODLANDS",
            "state": "TX",
            "postal_code": "773803279",
            "telephone_number": "281-419-8400",
            "fax_number": "281-292-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON BALETTE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "BALETTE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-419-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "M2254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.