NPIMap

Organization Active NPI

Nocona Medical Clinic PA

Doing business as Saint Jo Healthcare Center

  • Family Medicine Physician
  • Saint Jo, TX
National Provider Identifier
1821269010
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
673801 Issued in TX
Legal business name
NOCONA MEDICAL CLINIC PA
Doing business as
Saint Jo Healthcare Center
Practice address
108 Boggess
Saint Jo, TX 76265-0238
Phone
(940) 995-2410
NPI assigned
Mar 17, 2008
Last updated
Apr 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Leonard Thomas Dingler, MDNPI 1164439352
Title
President
Phone
(940) 825-3333

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 673801 TX Primary

Addresses

Primary practice location

108 Boggess
Saint Jo, TX 76265-0238

Mailing address

108 Boggess
Saint Jo, TX 76265-0238
Phone (940) 995-2410

Other names 1

  • SAINT JO HEALTHCARE CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2019 Change of OwnershipThis provider was the seller NGH Rural Health Clinic Saint JoCCN 673472, TX, NPI 1588137103

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 2

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": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1821269010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BOGGESS",
            "city": "SAINT JO",
            "state": "TX",
            "postal_code": "762650238",
            "telephone_number": "940-995-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BOGGESS",
            "city": "SAINT JO",
            "state": "TX",
            "postal_code": "762650238",
            "telephone_number": "940-995-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOCONA MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "DINGLER",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-825-3333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "673801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAINT JO HEALTHCARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Jo, TX

Sources for this page

Verify at the official NPI Registry.