Individual provider Active NPI

Joseph P Jeanette II, DO

  • Surgery Physician
  • Georgetown, TX
National Provider Identifier
1881738649
Registry record updated Aug 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
P2268 Issued in TX
Practice address
3721 Williams Dr
Georgetown, TX 78628-2401
Phone
(512) 869-7310
Fax
(512) 688-5584
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X P2268 TX Primary

Addresses

Primary practice location

3721 Williams Dr
Georgetown, TX 78628-2401

Mailing address

3721 Williams Dr
Georgetown, TX 78628-2401
Phone (512) 869-7310

Other practice location 1

201 University Oaks Ste 1260
Round Rock, TX 78665-2437
Phone (512) 869-7310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121002000194 TX Practitioner - General Surgery 3577712876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1101 Wolf Lake Dr
Georgetown, TX 78628-3778

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

2000 Scenic Dr
Georgetown, TX 78626-7726
Phone (512) 943-3000

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (512) 324-4000

201 University Oaks
Suite 1260
Round Rock, TX 78665-2437
Phone (512) 324-4780

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

Hospital & facility affiliations

  • Ascension Seton Williamson Hospital, Round Rock, TX, CCN 670041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)26
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Dec 10, 2018 Accepting new patients
Seton Family of Doctors CurrentSince Dec 10, 2018 Accepting new patients
Surgery Center of Georgetown, LLC PastSince Dec 20, 2021 Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1520 Leander Rd
Ste 101
Georgetown, TX 78628
Phone (512) 930-5439

3721 Williams Dr
Georgetown, TX 78628
Phone (512) 869-7310

1101 Wolf Lake Dr
Ste 225
Georgetown, TX 78628
Phone (512) 324-6722

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

201 University Oaks Blvd
Ste 1260
Round Rock, TX 78665
Phone (512) 324-4780

1905 SW H K Dodgen Loop
Temple, TX 76502
Phone (254) 298-2400

Interoperability endpoints

  • Direct secure messaging: joseph.jeanette.ii.1@8363.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1881738649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282401",
            "telephone_number": "512-869-7310",
            "fax_number": "512-688-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282401",
            "telephone_number": "512-869-7310",
            "fax_number": "512-688-5584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 University Oaks Ste 1260",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786652437",
            "country_code": "US",
            "telephone_number": "512-869-7310",
            "fax_number": "512-857-0259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEANETTE",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "P2268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.