Active NPI
John Q. a. Webb Jr MD PA
- Specialist
- Beaumont, TX
National Provider Identifier
1942494026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- E3137
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0091QC | Other | TX | BLUE CROSS BLUE SHIELD |
Other names 1
- BEAUMONT MEDICAL CLINIC
National Provider Directory
National Provider DirectoryLocations
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.