Organization Active NPI

John Q. a. Webb Jr MD PA

  • Specialist
  • Beaumont, TX
National Provider Identifier
1942494026
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E3137 Issued in TX
Legal business name
JOHN Q. A. WEBB JR MD PA
Practice address
5220 Eastex Fwy
Beaumont, TX 77708-5320
Phone
(409) 924-8600
Fax
(409) 924-8611
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
John Quincy Adam Webb Jr., MD
Title
Owner
Phone
(409) 924-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X E3137 TX Primary

Addresses

Primary practice location

5220 Eastex Fwy
Beaumont, TX 77708-5320

Mailing address

5220 Eastex Fwy
Beaumont, TX 77708-5320
Phone (409) 924-8600

Other identifiers 1

IdentifierTypeStateIssuer
0091QCOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • BEAUMONT MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

5220 Eastex Fwy
Beaumont, TX 77708
Phone (409) 899-4042

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1942494026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 EASTEX FWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777085320",
            "telephone_number": "409-924-8600",
            "fax_number": "409-924-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 EASTEX FWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777085320",
            "telephone_number": "409-924-8600",
            "fax_number": "409-924-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN Q. A. WEBB JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "QUINCY ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-924-8600",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E3137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0091QC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEAUMONT MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.