J. M. Patil, M. D., P. a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G4675 Issued in TX

Legal business name

J. M. PATIL, M. D., P. A.

Practice address

603 Highway 418 W
Ste #1
Silsbee, TX 77656-3660

Phone

(409) 385-9497

Fax

(409) 385-9464

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Jairaj M. Patil, M.D.

Title

President

Phone

(409) 385-9497

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1760666010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2246",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776562246",
            "telephone_number": "409-385-9497",
            "fax_number": "409-385-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 HIGHWAY 418 W",
            "address_2": "STE #1",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776563660",
            "telephone_number": "409-385-9497",
            "fax_number": "409-385-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. M. PATIL, M. D., P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "PATIL",
        "authorized_official_first_name": "JAIRAJ",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-385-9497",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G4675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126478004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenda K Hicks, OCCUPATIONAL THERAPI
• Kimberly Grisham Hinkie, LPC
• Barri L Hoffman, APRN
• Stephanie Hollen Callesto, FNP/FA
• Jennifer Huff, FNP-C
• Ala Jadallah, MA SLP
• Jameson Jean Gilles, PTA
• Henry Stephen Jefferson, RPH.
• Joe Keneson DDS Inc.
• Abhijett Sunjae Jania Joyce

• All providers in Silsbee, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.