Active NPI
Jason M Defee, MD, PA
- Orthopaedic Surgery Physician
- San Angelo, TX
National Provider Identifier
1679624555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- L6027
- Legal business name
- JASON M DEFEE, MD, PA
- Practice address
- 3814 Sherwood Way
San Angelo, TX 76901-3539 - Phone
- (325) 658-8020
- Fax
- (325) 482-8608
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason Miles Defee, M.D.
- Title
- Owner
- Phone
- (325) 658-8020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | L6027 | TX | Primary |
Addresses
Primary practice location
3814 Sherwood Way
San Angelo, TX 76901-3539
Mailing address
3814 Sherwood Way
San Angelo, TX 76901-3539
Phone (325) 658-8020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170094001 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
102 N Magdalen St
Ste 220
San Angelo, TX 76903
Phone (325) 658-8020
210 E Harris Ave
San Angelo, TX 76903
Phone (325) 658-8020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474416000000",
"number": "1679624555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3814 SHERWOOD WAY",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769013539",
"telephone_number": "325-658-8020",
"fax_number": "325-482-8608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3814 SHERWOOD WAY",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769013539",
"telephone_number": "325-658-8020",
"fax_number": "325-482-8608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASON M DEFEE, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2016-09-21",
"status": "A",
"authorized_official_last_name": "DEFEE",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "MILES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "325-658-8020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "L6027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170094001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.