NPIMap

Organization Active NPI

JKB Surgical Associates PLLC

  • Nurse Practitioner
  • Marshall, TX
National Provider Identifier
1801264965
Registry record updated Sep 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
652835 Issued in TX
Legal business name
JKB SURGICAL ASSOCIATES PLLC
Practice address
915 Bergstrom PL
Marshall, TX 75672-7607
Phone
(903) 387-1044
NPI assigned
Sep 7, 2015
Last updated
Sep 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2015

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

Authorized official

Name
Dr. Jennifer Baldwin, DNPNPI 1447250733
Title
Owner
Phone
(903) 387-1044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 652835 TX Primary

Addresses

Primary practice location

915 Bergstrom PL
Marshall, TX 75672-7607

Mailing address

915 Bergstrom PL
Marshall, TX 75672-7607
Phone (903) 387-1044

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441584000000",
    "number": "1801264965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 BERGSTROM PL",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756727607",
            "telephone_number": "903-387-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 BERGSTROM PL",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756727607",
            "telephone_number": "903-387-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKB SURGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-09-07",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-387-1044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "652835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2015; 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.