Organization Active NPI

Paul E. Jennings, M.D. P.a.

  • Orthopaedic Surgery Physician
  • San Marcos, TX
National Provider Identifier
1760780464
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PAUL E. JENNINGS, M.D. P.A.
Practice address
1601 Redwood Rd Ste C
San Marcos, TX 78666-1423
Phone
(512) 353-8661
NPI assigned
Mar 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Paul Jennings, MDNPI 1205985942
Title
President/MD
Phone
(512) 353-8661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1601 Redwood Rd Ste C
San Marcos, TX 78666-1423

Mailing address

PO Box 987
San Marcos, TX 78667-0987
Phone (361) 668-9966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110615000037 TX Part B Supplier - Clinic/Group Practice 6305023607 Receives reassigned benefits from 1 practitioner
Practice locations: San Marcos, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1760780464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 987",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786670987",
            "telephone_number": "361-668-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 REDWOOD RD STE C",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786661423",
            "telephone_number": "512-353-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL E. JENNINGS, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT/MD",
        "authorized_official_telephone_number": "512-353-8661",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.