DR. JASON T PICKELMAN (NPI# 1538163910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538163910 |
| Entity Type | Individual |
| Full Name | DR. JASON T PICKELMAN |
| Credential | MD |
| Practice Address |
1902 Moores Ln Texarkana TX 75503-4610 |
| Mailing Address |
5002 Cowhorn Creek Rd Texarkana TX 75503-9766 |
| Practice Telephone | 9037927515 |
| Practice Fax Number | 9037918645 |
| Mailing Telephone | 9036143000 |
| Mailing Fax Number | 9036143525 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | L3895 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1902 MOORES LN |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363507 | Christopher Todd Payne | Urology | 1902 Moores Ln, Texarkana, TX 75503-4610 | 2005-06-02 |
| 1447871124 | Kaci Anne Drumm | Nurse Practitioner | 1902 Moores Ln, Texarkana, TX 75503-4610 | 2020-05-04 |
| 1689182438 | Lab Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 1902 Moores Ln, Texarkana, TX 75503-4610 | 2018-01-15 |
| 1790105898 | Jessie Liang | Urology | 1902 Moores Ln, Texarkana, TX 75503-4610 | 2014-04-16 |
| 1962772871 | Surgery Center of Northeast Texas LLC | Clinic/Center | 1902 Moores Ln, Suite, B, Texarkana, TX 75503-4610 | 2012-01-09 |
| 1295929743 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 1902 Moores Ln, Texarkana, TX 75503-4610 | 2007-08-28 |
| 1083665327 | Urology Associates of Texarkana, Pa | Specialist | 1902 Moores Ln, Texarkana, TX 75503-4610 | 2006-05-12 |
| 1972562940 | Urology Surgery Center of Texarkana | Clinic/Center | 1902 Moores Ln, Second Floor, Texarkana, TX 75503-4610 | 2006-03-20 |
| 1063498657 | Northeast Texas Surgery Center | Clinic/Center | 1902 Moores Ln, Suite B, Texarkana, TX 75503-4610 | 2005-12-16 |
| 1700868528 | Collom and Carney Clinic Association | Pathology | 1902 Moores Ln, Texarkana, TX 75503-4610 | 2005-11-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363507 | Christopher Todd Payne | Urology | 1902 Moores Ln, Texarkana, TX 75503-4610 | 2005-06-02 |
| 1790105898 | Jessie Liang | Urology | 1902 Moores Ln, Texarkana, TX 75503-4610 | 2014-04-16 |
| 1346240611 | Patrick J Somerville | Urology | 1902 Moores Ln, Texarkana, TX 75503-4610 | 2005-07-28 |
| 1003816901 | Joseph Sean Womack | Urology | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-07-21 |
| 1740284173 | George R Hunter | Urology | 1002 Texas Blvd, Ste 501, Texarkana, TX 75501-5117 | 2005-06-13 |
| 1730183534 | Cordell L Klein | Urology | 1902 Moores Ln, Texarkana, TX 75503-4610 | 2005-06-09 |
| 1144222100 | Glen A Rountree | Urology | 1902 Moores Ln, Texarkana, TX 75503-4610 | 2005-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573765 | William Cooper Buschemeyer IIi, M.d. P.a. | Urology | 26620 Interstate 45-north, The Woodlands, TX 77386 | 2020-09-22 |
| 1619587169 | Jasgurpreet Singh | Urology | 4310 Dunlavy St Apt 350, Houston, TX 77006-5312 | 2020-08-08 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1649780453 | Paul Bradley Md Pllc | Urology | 703 E Marshall Ave Ste 4009, Longview, TX 75601-5500 | 2017-10-06 |
| 1154857977 | Darren M. Chapman M.d., Pllc | Urology | 10970 Shadow Creek Pkwy # 255, Pearland, TX 77584-0100 | 2017-05-11 |
| 1114308467 | Kashyap Shatagopam | Urology | 1900 Scenic Dr Ste 2222, Georgetown, TX 78626-7703 | 2015-06-12 |
| 1114311933 | Marshall Stein | Urology | 7777 Southwest Fwy Ste 540, Houston, TX 77074-1809 | 2015-03-19 |
| 1023401510 | Robert A Bloom Md Pllc | Urology | 416 S. Henderson St., Fort Worth, TX 76104 | 2015-03-09 |
| 1366853152 | Lawrence Tsai | Urology | 12319 N Mopac Expy Ste 200, Austin, TX 78758-2497 | 2014-05-14 |
| 1558780031 | Rachel Sosland | Urology | 4207 James Casey St Ste 107, Austin, TX 78745-1192 | 2014-04-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.