John Kevin Page, MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JOHN KEVIN PAGE, MD PLLC

Doing business as

Sea Base Medicine

Practice address

1631 Lancaster Dr Ste 330
Grapevine, TX 76051-3585

Phone

(972) 792-5700

NPI assigned

Oct 31, 2022

Organization subpart

No

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

Authorized official

Name

John Kevin Page, MDNPI 1871679654

Title

Owner

Phone

(817) 366-9772

Specialties & licenses 1

Addresses

Other names 1

• Sea Base Medicine Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• John Kevin Page, MD

  • Internal Medicine Physician
  • Grapevine, TX
  • NPI 1871679654
  NPD Authorized official
• Erica Hernandez, PA-C

  • Physician Assistant
  • Grapevine, TX
  • NPI 1518737253
  NPD
• Reema Patel, PA

  • Physician Assistant
  • Grapevine, TX
  • NPI 1912768748
  NPD

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1790492734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 LBJ FWY STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434310",
            "telephone_number": "972-792-5700",
            "fax_number": "214-506-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 LANCASTER DR STE 330",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513585",
            "telephone_number": "972-792-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN KEVIN PAGE, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2024-03-20",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-366-9772",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sea Base Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jentrify RX, LLC (Jentrify RX)
• Annette Jerome, PHD
• Lauren Jewett, PA-C
• Jinping Chai,PA
• John a Maxey MD PA
• John S. Ferris M.D. P.a.
• Shana John, PT, DPT
• Shana John, PA
• Avani Chanel Johnson, OTR
• Jessica Thorman Johnson, MS, RD, LD

• Internal Medicine Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.