John a Iceton MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

H6857 Issued in TX

Legal business name

JOHN A ICETON MD PA

Practice address

2927 Park Plaza LN
Port Arthur, TX 77642-5516

Phone

(409) 983-5178

NPI assigned

Feb 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John A Iceton

Title

Medical Doctor

Phone

(409) 983-5178

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1689842445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 PARK PLAZA LN",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776425516",
            "telephone_number": "409-983-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 PARK PLAZA LN",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776425516",
            "telephone_number": "409-983-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A ICETON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ICETON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "409-983-5178",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "H6857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "H6857",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0978157-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jefferson County Day Activity & Health Service Center
• Jennifer Lewis
• June Lynette Jennings, LVN
• Jerry L Philmon
• Fareesha Jiwani, PA
• John H. Lee DO, PA
• Connie Denise Johnson-Wiltz, FNP-BC
• Cathy A Johnson
• Melinda Kay Johnson, LPC
• Tyler Johnson, PHARM D

• Orthopaedic Surgery Physician in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.