NPIMap

Organization Active NPI

Jose E Igoa MD PA

  • Psychiatry Physician
  • McAllen, TX
National Provider Identifier
1992906762
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G5833 Issued in TX
Legal business name
JOSE E IGOA MD PA
Practice address
3600 N 23Rd St
Suite 103
McAllen, TX 78501-6144
Phone
(956) 682-4401
Fax
(956) 664-9081
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Jose E. Igoa, MDNPI 1780615732
Title
President
Phone
(956) 682-4401

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X G5833 TX Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA 05400 TX
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA 05401 TX

Addresses

Primary practice location

3600 N 23Rd St
Suite 103
McAllen, TX 78501-6144

Mailing address

PO Box 1448
McAllen, TX 78505-1448
Phone (956) 682-4401

Other identifiers 1

IdentifierTypeStateIssuer
201224701MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090108000771 TX Part B Supplier - Clinic/Group Practice 0547323016 Receives reassigned benefits from 18 practitioners
Practice locations: Harlingen, TX; McAllen, TX

National Provider Directory

National Provider Directory

Locations

1713 Treasure Hills Blvd
Ste 2C
Harlingen, TX 78550
Phone (956) 425-4401

3600 N 23rd St
Ste 103
McAllen, TX 78501
Phone (956) 682-4401

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1992906762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1448",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785051448",
            "telephone_number": "956-682-4401",
            "fax_number": "956-664-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N 23RD ST",
            "address_2": "SUITE 103",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016144",
            "telephone_number": "956-682-4401",
            "fax_number": "956-664-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE E IGOA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "IGOA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-682-4401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G5833",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA 05400",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA 05401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201224701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.