NPIMap

Organization Active NPI

Jana M Winberg Mdpa

Doing business as Kountze Family Medicine Clinic

  • Family Medicine Physician
  • Kountze, TX
National Provider Identifier
1962696757
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L4815 Issued in TX
Legal business name
JANA M WINBERG MDPA
Doing business as
Kountze Family Medicine Clinic
Practice address
345 S Pine St
Kountze, TX 77625-9329
Phone
(409) 246-1014
Fax
(409) 246-1029
NPI assigned
Sep 5, 2007
Last updated
Jul 2, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
JANA M WINBERG MDPAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Authorized official

Name
Jana Marie Winberg, MDNPI 1164416285
Title
President
Phone
(409) 246-1014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L4815 TX Primary

Addresses

Primary practice location

345 S Pine St
Kountze, TX 77625-9329

Mailing address

PO Box 727
Kountze, TX 77625-0727
Phone (409) 246-1014

Other identifiers 1

IdentifierTypeStateIssuer
1696619-03OtherMCD GROUP JEFF

Other names 1

  • Kountze Family Medicine Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041101000804 TX Part B Supplier - Clinic/Group Practice 2264494368 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Beaumont, TX; Silsbee, TX; Kountze, TX; Beamont, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Jana M Winberg Mdpa2 organizations share this tax ID, including this one
Part of
Jana M Winberg Mdpa

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1962696757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "KOUNTZE",
            "state": "TX",
            "postal_code": "776250727",
            "telephone_number": "409-246-1014",
            "fax_number": "406-246-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 S PINE ST",
            "city": "KOUNTZE",
            "state": "TX",
            "postal_code": "776259329",
            "telephone_number": "409-246-1014",
            "fax_number": "409-246-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANA M WINBERG MDPA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JANA M WINBERG MDPA",
        "enumeration_date": "2007-09-05",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "WINBERG",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-246-1014",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L4815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCD GROUP JEFF",
            "identifier": "1696619-03",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kountze Family Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kountze, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.