John Francis Psutka, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E9338 Issued in TX

Practice address

12302 F.M. 121 W.
Van Alstyne, TX 75495-2135

Phone

(903) 482-5181

Fax

(903) 482-1290

NPI assigned

Jun 24, 2005

Last updated

Dec 8, 2009By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1740286665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2135",
            "address_2": "12302 F.M. 121 WEST",
            "city": "VAN ALSTYNE",
            "state": "TX",
            "postal_code": "754952135",
            "telephone_number": "903-482-5181",
            "fax_number": "903-482-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12302 F.M. 121 W.",
            "city": "VAN ALSTYNE",
            "state": "TX",
            "postal_code": "754952135",
            "telephone_number": "903-482-5181",
            "fax_number": "903-482-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSUTKA",
        "first_name": "JOHN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E9338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P00CL012",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Van Alstyne, TX
• Providers in Van Alstyne, 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 Dec 8, 2009; 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.