Johnson & Havener Medical Services, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JOHNSON & HAVENER MEDICAL SERVICES, PA

Practice address

1920 E Griffin Pkwy
Mission, TX 78572-3106

Phone

(956) 584-3353

Fax

(956) 584-3253

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Jere Matthew Johnson, M.D.

Title

Owner/Partner

Phone

(956) 584-3353

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Family Health Center of Mission Doing business as

Locations

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700812468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723106",
            "telephone_number": "956-584-3353",
            "fax_number": "956-584-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723106",
            "telephone_number": "956-584-3353",
            "fax_number": "956-584-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON & HAVENER MEDICAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JERE",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "956-584-3353",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CR0547",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "00N26N",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Center of Mission",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariano Jimenez, LPC
• Richard Jimenez, CRNA
• Jja Management, LLC
• JN New Life Care Services Corp.
• Johnson & Havener Medical Services, PA
• Christina Noel Johnson, NP
• Jere Matthew Johnson, M.D.
• Jorky Inc.
• Jose a Escandon MD PA
• Jose M. Marina, DO. PA

• Family Medicine Physician in Mission, TX
• Providers in Mission, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.