Jasper Diagnostic Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

J4671 Issued in TX

Legal business name

JASPER DIAGNOSTIC CLINIC

Practice address

300 Marvin Hancock Dr
Jasper, TX 75951-3480

Phone

(409) 383-1355

Fax

(409) 384-7276

NPI assigned

Oct 25, 2007

Last updated

Oct 25, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Saurabh Singh, M.D.NPI 1871593103

Title

Owner

Phone

(409) 383-1355

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BIEGBA

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Saurabh Singh, MD

  • Internal Medicine Physician
  • Jasper, TX
  • NPI 1871593103
  Medicare reassignment NPD Authorized official
• Asifa Ijaz, M.D

  • Family Medicine Physician
  • Carrollton, TX
  • NPI 1689708729
  NPD (past)
• Federico P Ilang-Ilang Jr., M.D.

  • Internal Medicine Physician
  • Midland, TX
  • NPI 1417985300
  NPD (past)
• Jasmine Burke, M.D.

  • Internal Medicine Physician
  • Menlo Park, CA
  • NPI 1134257678
  NPD (past)
• Mandy Renae Carlson, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Grand Island, NE
  • NPI 1396974820
  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1801075957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MARVIN HANCOCK DR",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759513480",
            "telephone_number": "409-383-1355",
            "fax_number": "409-384-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MARVIN HANCOCK DR",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759513480",
            "telephone_number": "409-383-1355",
            "fax_number": "409-384-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER DIAGNOSTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "SAURABH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-383-1355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "J4671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442428",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hughes Medical Group
• David Scott Hughes, LCDC
• Jenna-Maree Inman, FNP-BC
• Jasper County Committee on Aging Inc
• Jasper County Urgent Care PLLC
• Jasper Emergency Medicine Associates PA
• Jasper Emergency Physicians, PLLC
• Jasper Family Dental
• Jasper Family Eyecare PLLC
• Jasper Family Medicine

• Primary Care Clinic/Center in Jasper, TX
• Providers in Jasper, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.