Active NPI
Jara K McDonald, M.D.
- Family Medicine Physician
- Marble Falls, TX
National Provider Identifier
1962716001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R8610
- Practice address
- 810 W Highway 71
Marble Falls, TX 78654 - Phone
- (830) 201-7100
- Fax
- (830) 201-7336
- NPI assigned
- Jul 30, 2010
- Last updated
- Sep 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M12110 | ID | |
| Family Medicine Physician | 207Q00000X | R8610 | TX | Primary |
Addresses
Primary practice location
810 W Highway 71
Marble Falls, TX 78654
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371
Other practice location 1
740 McKinley Ave
Kellogg, ID 83837-2693
Phone (208) 783-1267
Other names 1
- Jara K Cintron
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 9, 2021 through Jul 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8610 | TX | MD | Family Medicine Physician |
Interoperability endpoints
- jara.mcdonald.1@25917.direct.athenahealth.com
- jmcdonald420667@direct.sw.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1962716001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "800-994-0371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 W HIGHWAY 71",
"city": "MARBLE FALLS",
"state": "TX",
"postal_code": "78654",
"telephone_number": "830-201-7100",
"fax_number": "830-201-7336"
}
],
"practiceLocations": [
{
"address_1": "740 McKinley Ave",
"address_purpose": "LOCATION",
"city": "Kellogg",
"state": "ID",
"postal_code": "838372693",
"country_code": "US",
"telephone_number": "208-783-1267",
"fax_number": "208-786-4471",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONALD",
"first_name": "JARA",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-30",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M12110",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "R8610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JARA",
"last_name": "CINTRON",
"middle_name": "K",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marble Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.