Jason Robert Phillips (NPI# 1760442685, PAC ID# 9739163882) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1760442685 |
| PAC ID by PECOS | 9739163882 |
| Professional Enrollment ID | I20040616000222 |
| Full Name | Jason Robert Phillips |
| Organization Legal Name | GASTROENTEROLOGY CONSULTANTS OF SOUTH TEXAS, PA |
| Address |
512 Victoria Ln Suite 2 Harlingen TX 78550-3227 |
| Phone Number | 9563654400 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1998 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 3274624937 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670034 | BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK |
| 450855 | HARLINGEN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 512 Victoria Ln, Suite 2, Harlingen, TX 78550-3227 | 9563654400 | GASTROENTEROLOGY CONSULTANTS OF SOUTH TEXAS, PA |
| 425 University Blvd, Round Rock, TX 78665-1053 | 5125090200 | SCOTT AND WHITE CLINIC |
| 1605 S 31st St, Baylor Scott and White Center for Dia, Temple, TX 76508-0001 | 2542150100 | SCOTT AND WHITE CLINIC |
| 2401 S 31st St, Baylor Scott and White Clinic Templ, Temple, TX 76508-0001 | 2547242459 | SCOTT AND WHITE CLINIC |
| 2401 S 31st St Bldg, 35 Baylor Scott and White Roney Bone And, Temple, TX 76508-0001 | 2547242663 | SCOTT AND WHITE CLINIC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_113_overall | Colorectal Cancer Screening | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | GASTROENTEROLOGY CONSULTANTS OF SOUTH TEXAS, PA |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maribel Deponce | Physician Assistant | Gastroenterology Consultants of South Texas, Pa | 512 Victoria Ln, Suite 2, Harlingen, TX 78550-3227 |
| Sandeep Thomas Samuel | Gastroenterology | Gastroenterology Consultants of South Texas, Pa | 512 Victoria Ln, Suite 2, Harlingen, TX 78550-3227 |
| Nolan E Perez | Gastroenterology | Gastroenterology Consultants of South Texas, Pa | 512 Victoria Ln, Suite 2, Harlingen, TX 78550-3227 |
| Stephany Sosa | Nurse Practitioner | Gastroenterology Consultants of South Texas, Pa | 512 Victoria Ln, Suite 2, Harlingen, TX 78550-3227 |
| Miriam Daniela De Leon | Physician Assistant | Gastroenterology Consultants of South Texas, Pa | 512 Victoria Ln, Suite 2, Harlingen, TX 78550-3227 |
| Mihaela Ringheanu | Pediatric Medicine | Gastroenterology Consultants of South Texas, Pa | 512 Victoria Ln, Suite 2, Harlingen, TX 78550-3227 |
| Nicole Marie Grigg Gutierrez | Gastroenterology | Gastroenterology Consultants of South Texas, Pa | 512 Victoria Ln, Suite 2, Harlingen, TX 78550-3227 |
| Michelle Lee Lopez | Nurse Practitioner | Gastroenterology Consultants of South Texas, Pa | 512 Victoria Ln, Suite 2, Harlingen, TX 78550-3227 |
| Janis M Mays | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Consultants of South Texas, Pa | 512 Victoria Ln, Suite 2, Harlingen, TX 78550-3227 |
| Cynthia Hernandez | Nurse Practitioner | Gastroenterology Consultants of South Texas, Pa | 512 Victoria Ln, Suite 2, Harlingen, TX 78550-3227 |
| Street Address |
512 VICTORIA LN SUITE 2 |
| City | HARLINGEN |
| State | TX |
| Zip | 78550-3227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maribel Deponce | Physician Assistant | Gastroenterology Consultants of South Texas, Pa | 512 Victoria Ln, Suite 2, Harlingen, TX 78550-3227 |
| Adriana Gomez | Family Medicine | Hni Medical Services | 512 Victoria Ln, Suite 12, Harlingen, TX 78550-3228 |
| Robert D Mccauley | Nurse Practitioner | Hni Medical Services | 512 Victoria Ln, Suite 12, Harlingen, TX 78550-3228 |
| Krisdaniel Secuya Te | Internal Medicine | Hni Medical Services | 512 Victoria Ln, Suite 12, Harlingen, TX 78550-3228 |
| Eduardo Miguel Guerra Valencia | Family Medicine | Hni Medical Services | 512 Victoria Ln, Suite 12, Harlingen, TX 78550-3228 |
| Olukayode A. Bamgbelu | Internal Medicine | Hni Medical Services | 512 Victoria Ln, Suite 12, Harlingen, TX 78550-3228 |
| Disni Muringampurath John | Internal Medicine | Hni Medical Services | 512 Victoria Ln, Suite 12, Harlingen, TX 78550-3228 |
| Reuben Wencis Tovar | Internal Medicine | Hni Medical Services | 512 Victoria Ln, Suite 12, Harlingen, TX 78550-3228 |
| Sandeep Thomas Samuel | Gastroenterology | Gastroenterology Consultants of South Texas, Pa | 512 Victoria Ln, Suite 2, Harlingen, TX 78550-3227 |
| Nolan E Perez | Gastroenterology | Gastroenterology Consultants of South Texas, Pa | 512 Victoria Ln, Suite 2, Harlingen, TX 78550-3227 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor Flores | Physical Therapy | 602 Kamali Dr, Harlingen, TX 78550 | |
| Usman Sheriff | Cardiovascular Disease (cardiology) | 597 W Sesame Square Dr, Suite B, Harlingen, TX 78550 | |
| Steven P Mineker | Physical Therapy | Back To Action Inc | 1118 E Harrison, Harlingen, TX 78550 |
| Diana Lozano | Internal Medicine | 5505 S Exressway, 77 Suite 203, Harlingen, TX 78550 | |
| Erin K Mccormick | Urology | 597 Sesame Dr W, Suite F, Harlingen, TX 78550 | |
| Luis A Reynoso | Internal Medicine | 629 Kaimali Dr, Harlingen, TX 78550-0016 | |
| Miguel A Rodriguez | Certified Registered Nurse Anesthetist (crna) | 610 Kaimali Dr, Harlingen, TX 78550-0233 | |
| Cecilia Christine Gonzales | Nurse Practitioner | Strategic Bh-brownsville LLC | 613 Victoria Ln, Harlingen, TX 78550-0235 |
| Zenia Yvette Martinez | Nurse Practitioner | Strategic Bh-brownsville LLC | 613 Victoria Ln, Harlingen, TX 78550-0235 |
| Tami T Dittburner | Nurse Practitioner | 617 E Loop, 499c, Harlingen, TX 78550-2477 | |
| Find all physicians in zip 78550 | |||
| City | HARLINGEN |
| Zip Code | 78550 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | HARLINGEN + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Jason Robert Phillips.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.