Jessie Dean Johann Doyal, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F9379 Issued in TX

Practice address

200 W Kearney St
Mesquite, TX 75149-3471

Phone

(972) 285-6349

Fax

(972) 289-6717

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1700936804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W KEARNEY ST",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493471",
            "telephone_number": "972-285-6349",
            "fax_number": "972-289-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W KEARNEY ST",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493471",
            "telephone_number": "972-285-6349",
            "fax_number": "972-289-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYAL",
        "first_name": "JESSIE",
        "middle_name": "DEAN JOHANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F9379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doorstep Procare Management LLC
• Doothraya PLLC
• Rhea S Doughty, D.C
• Erica Douglas Woodkins, LPN
• Jay Jay Douglas
• Dr Rajesh S Rana MD PA
• Dr. James P. Prediger & Associates, Inc
• Angela Draughon-Preston, DC
• D'Marcus Drayton
• Dream Land Healthcare Inc.

• Family Medicine Physician in Mesquite, TX
• Providers in Mesquite, 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 Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.