Organization Active NPI

JB Internal Medicine

  • Primary Care Clinic/Center
  • Kingwood, TX
National Provider Identifier
1740423466
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JB INTERNAL MEDICINE
Practice address
201 Kingwood Medical Dr
Suite a-300
Kingwood, TX 77339-6012
Phone
(281) 973-1564
Fax
(281) 973-1569
NPI assigned
Apr 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Authorized official

Name
Dr. Jane Beauvais, M.D.
Title
Owner
Phone
(281) 973-1564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

201 Kingwood Medical Dr
Suite a-300
Kingwood, TX 77339-6012

Mailing address

201 Kingwood Medical Dr
Suite a-300
Kingwood, TX 77339-6012
Phone (281) 973-1564

Other identifiers 1

IdentifierTypeStateIssuer
0043SGOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

201 Kingwood Medical Dr
Ste A300
Kingwood, TX 77339
Phone (281) 973-1564

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1740423466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 KINGWOOD MEDICAL DR",
            "address_2": "SUITE A-300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396012",
            "telephone_number": "281-973-1564",
            "fax_number": "281-973-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KINGWOOD MEDICAL DR",
            "address_2": "SUITE A-300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396012",
            "telephone_number": "281-973-1564",
            "fax_number": "281-973-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "BEAUVAIS",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-973-1564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0043SG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

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