Organization Active NPI

Hill Country Center for Cancer Care

  • Radiation Oncology Physician
  • Fredericksburg, TX
National Provider Identifier
1639151905
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
H3082 Issued in TX
Legal business name
HILL COUNTRY CENTER FOR CANCER CARE
Practice address
753 S Washington St
Fredericksburg, TX 78624-5239
Phone
(830) 990-4800
Fax
(830) 257-3161
NPI assigned
Nov 14, 2005
Last updated
Aug 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
Dr. David Campbell Jones, M.D.NPI 1659353795
Title
General Partner
Phone
(830) 257-3131

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
Radiation Oncology Physician 2085R0001X H3082 TX Primary

Addresses

Primary practice location

753 S Washington St
Fredericksburg, TX 78624-5239

Mailing address

PO Box 1008
San Marcos, TX 78667-1008
Phone (830) 990-4800

Other practice location 1

1001 Water St
Ste J-100
Kerrville, TX 78028-3523
Phone (830) 257-3131

Other identifiers 2

IdentifierTypeStateIssuer
178215301MedicaidTX
DE5633OtherTXRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050811000445 TX Part B Supplier - Clinic/Group Practice 6305875139 Receives reassigned benefits from 2 practitioners
Practice locations: Fredericksburg, TX; Kerrville, TX

National Provider Directory

National Provider Directory

Locations

753 S Washington St
Bldg D
Fredericksburg, TX 78624
Phone (830) 990-4800

1001 Water St
Ste J
Kerrville, TX 78028
Phone (830) 257-3131

Practitioners & affiliated clinicians

Practitioners 4

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": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1639151905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1008",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786671008",
            "telephone_number": "830-990-4800",
            "fax_number": "830-257-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 S WASHINGTON ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245239",
            "telephone_number": "830-990-4800",
            "fax_number": "830-257-3161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Water St",
            "address_2": "Ste J-100",
            "address_purpose": "LOCATION",
            "city": "Kerrville",
            "state": "TX",
            "postal_code": "780283523",
            "country_code": "US",
            "telephone_number": "830-257-3131",
            "fax_number": "830-257-3161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HILL COUNTRY CENTER FOR CANCER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CAMPBELL",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "830-257-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "H3082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178215301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE5633",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.