Active NPI
Jason Squires, PA
- Physician Assistant
- Durant, OK
National Provider Identifier
1982640116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02526
- Practice address
- 698 Westside Dr Ste 110
Durant, OK 74701-3085 - NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02526 | TX | Primary |
Addresses
Primary practice location
698 Westside Dr Ste 110
Durant, OK 74701-3085
Mailing address
5012 US Hwy 75, Suite 300
Attn Billing
Denison, TX 75020-4589
Phone (580) 920-1922
Other practice location 1
600 E Taylor St
Suite 201
Sherman, TX 75090-2881
Phone (903) 957-1104
Other practice location 2
600 E Taylor St
Suite 201
Sherman, TX 75090-2881
Phone (903) 957-1104
Other practice location 3
111 E Fm 120 Ste 104
Pottsboro, TX 75076-7801
Phone (903) 786-3911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100810000336 | TX | Practitioner - Physician Assistant | 6305970500 | Reassigns benefits to 1 organization |
| I20180111000264 | OK | Practitioner - Physician Assistant | 6305970500 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Texas Southwestern Medical School at Dallas, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 Brookside Dr
Madill, OK 73446-3643
Phone (580) 795-5506
698 Westside Dr
Suite 110
Durant, OK 74701-3085
Phone (580) 920-1922
Hospital & facility affiliations
- Victory Home Health, LLC
- Centric Home Health
- TMC Home Health of Durant
- Texoma Medical Center
- Alliancehealth Durant
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1034 | OK | MD | Pastoral Counselor |
| PA02526 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Center | Past | Accepting new patients | |
| Texomacare | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- jason.squires@tc.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Durant, OK
- NPI 1407202740
-
- Home Health Agency
- Durant, OK
- NPI 1437782406
-
- Home Health Agency
- Tishomingo, OK
- NPI 1326026014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1982640116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5012 US HWY 75, SUITE 300",
"address_2": "ATTN BILLING",
"city": "DENISON",
"state": "TX",
"postal_code": "750204589",
"telephone_number": "580-920-1922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "698 WESTSIDE DR STE 110",
"city": "DURANT",
"state": "OK",
"postal_code": "747013085"
}
],
"practiceLocations": [
{
"address_1": "600 E Taylor St",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Sherman",
"state": "TX",
"postal_code": "750902881",
"country_code": "US",
"telephone_number": "903-957-1104",
"fax_number": "903-957-1105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 E Taylor St",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Sherman",
"state": "TX",
"postal_code": "750902881",
"country_code": "US",
"telephone_number": "903-957-1104",
"fax_number": "903-957-1105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 E Fm 120 Ste 104",
"address_purpose": "LOCATION",
"city": "Pottsboro",
"state": "TX",
"postal_code": "750767801",
"country_code": "US",
"telephone_number": "903-786-3911",
"fax_number": "903-786-8630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SQUIRES",
"first_name": "JASON",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.