NPIMap

Organization Active NPI

Texas Oncology PA

  • Medical Oncology Physician
  • Webster, TX
National Provider Identifier
1821265265
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
TEXAS ONCOLOGY PA
Practice address
501 Medical Center Blvd
Webster, TX 77598-4219
Phone
(972) 997-8000
Fax
(972) 234-2987
NPI assigned
May 14, 2008
Last updated
May 24, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
TEXAS ONCOLOGY PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Jason D Shook
Title
Chief Operating Office
Phone
(972) 490-2947

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU
Medical Oncology Physician 207RX0202X NU Primary
Gynecologic Oncology Physician 207VX0201X NU
Pediatric Hematology & Oncology Physician 2080P0207X NU
Radiation Oncology Physician 2085R0001X NU
Surgery Physician 208600000X NU

Addresses

Primary practice location

501 Medical Center Blvd
Webster, TX 77598-4219

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other identifiers 1

IdentifierTypeStateIssuer
140414751MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031124000323 TX Part B Supplier - Clinic/Group Practice 5395658934 Receives reassigned benefits from 1,125 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0682744Texas Oncology Lab PA501 Medical Center Boulevard, Webster, TX 77598AccreditationDec 22, 2027

National Provider Directory

National Provider Directory
Part of
Robert G Mennel MD

Locations

5125 Texoma Medical Center Dr
Ste 100
Denison, TX 75020
Phone (903) 868-4700

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

4001 W 15th St
Ste 280
Plano, TX 75093
Phone (972) 985-7988

5206 Research Dr
San Antonio, TX 78240

9200 Pinecroft Dr
Ste 450
Shenandoah, TX 77380
Phone (281) 296-0365

1700 W State Highway 6
Woodway, TX 76712
Phone (254) 399-0741

Practitioners & affiliated clinicians

Practitioners 220

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.

View all 220

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1821265265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MEDICAL CENTER BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984219",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ONCOLOGY PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS ONCOLOGY PA",
        "enumeration_date": "2008-05-14",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "SHOOK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICE",
        "authorized_official_telephone_number": "972-490-2947"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140414751",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.