Organization Active NPI

Donald John MD PA

  • Neurology Physician
  • Wichita Falls, TX
National Provider Identifier
1619314200
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
E4431 Issued in TX
Legal business name
DONALD JOHN MD PA
Practice address
4206 Call Field Rd
Wichita Falls, TX 76308-2519
Phone
(940) 397-5200
Fax
(940) 397-5292
NPI assigned
May 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Dr. Donald H John, MD
Title
Owner
Phone
(940) 397-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X E4431 TX Primary

Addresses

Primary practice location

4206 Call Field Rd
Wichita Falls, TX 76308-2519

Mailing address

4206 Call Field Rd
Wichita Falls, TX 76308-2519
Phone (940) 397-5200

Other identifiers 1

IdentifierTypeStateIssuer
122412303MedicaidTX

National Provider Directory

National Provider Directory

Locations

4206 Call Field Rd
Wichita Falls, TX 76308
Phone (940) 397-5200

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1619314200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 CALL FIELD RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082519",
            "telephone_number": "940-397-5200",
            "fax_number": "940-397-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 CALL FIELD RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082519",
            "telephone_number": "940-397-5200",
            "fax_number": "940-397-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD JOHN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-397-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "E4431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122412303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.