NPIMap

Organization Active NPI

Texas Oncology PA

  • Medical Oncology Physician
  • Texas City, TX
National Provider Identifier
1912174343
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
1125 Highway 3 N
Suite 150
Texas City, TX 77591-4048
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
Medical Oncology Physician 207RX0202X Primary
Gynecologic Oncology Physician 207VX0201X
Pediatric Hematology & Oncology Physician 2080P0207X
Radiation Oncology Physician 2085R0001X
Surgery Physician 208600000X

Addresses

Primary practice location

1125 Highway 3 N
Suite 150
Texas City, TX 77591-4048

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
140414774MedicaidTX

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.

National Provider Directory

National Provider Directory
Part of
Robert G Mennel MD

Locations

1904 Pine St
Ste 1A
Abilene, TX 79601
Phone (325) 672-4368

12221 Renfert Way
Ste 300
Austin, TX 78758
Phone (512) 873-8900

10425 N Central Expy
Dallas, TX 75231
Phone (214) 361-2025

7777 Forest Ln
Ste C618
Dallas, TX 75230
Phone (972) 401-4940

1649 Treasure Hills Blvd
Ste B11
Harlingen, TX 78550
Phone (956) 425-1368

4708 Alliance Blvd
Ste 650
Plano, TX 75093
Phone (469) 326-2636

6518 Memorial Dr
#4793
Texas City, TX 77591
Phone (409) 935-4110

Practitioners & affiliated clinicians

Practitioners 48

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 48

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": "1912174343",
    "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": "1125 HIGHWAY 3 N",
            "address_2": "SUITE 150",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775914048",
            "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140414774",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.