Organization Active NPI

Jason M Defee, MD, PA

  • Orthopaedic Surgery Physician
  • San Angelo, TX
National Provider Identifier
1679624555
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
L6027 Issued in TX
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

Updated by the provider on Sep 21, 2016

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
170094001MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.