JASON ALLEN FONDRICK (NPI# 1639621758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639621758 |
Entity Type | Individual |
Full Name | JASON ALLEN FONDRICK |
Credential | PA-C |
Practice Address |
3030 North St Ste 430 Beaumont TX 77702-1434 |
Practice Telephone | 4098992500 |
Mailing Telephone | 4098992500 |
Enumeration Date | 2016-10-25 |
Last Update Date | 2016-12-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA10809 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3030 NORTH ST STE 430 |
City | BEAUMONT |
State | TX |
Zip Code | 77702-1434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
Find all providers in zip 77702 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699239145 | Michael Delauney Dukate | Physician Assistant | 2965 Harrison St Ste 220, Beaumont, TX 77702-1149 | 2019-01-29 |
1427561786 | Colette Lavoy | Physician Assistant | 81 Highland Springs Ave Ste 100, Beaumont, CA 92223-3170 | 2017-11-08 |
1457806424 | Adriana Barrier | Physician Assistant | 1361 Mandrake Way, Beaumont, CA 92223-8467 | 2016-08-19 |
1235510504 | Randy Steven Yergenson | Physician Assistant | 222 Drake Ave, Beaumont, CA 92223-7512 | 2015-06-12 |
1376937003 | Winnie Community Hospital LLC | Physician Assistant | 85 Ih 10 N Ste 112, Beaumont, TX 77707 | 2015-03-19 |
1134540560 | Tommy Kent Sims | Physician Assistant | 5030 Highway 69 S, Beaumont, TX 77705-1258 | 2014-01-03 |
1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
1285911412 | Nicholas Rene Alonzo | Physician Assistant | 81 Highland Springs Ave Ste 103, Beaumont, CA 92223-3170 | 2011-11-16 |
1770673782 | Stephen Livain Richard | Physician Assistant | 2890 N St, Christus Minor Care Clinic, Beaumont, TX 77702 | 2006-10-13 |
1578659124 | William Sperling | Physician Assistant | 3282 College St, Beaumont, TX 77701-4610 | 2006-10-04 |
Find all providers in BEAUMONT |
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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.