JASON EDWARD BACON (NPI# 1205287869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205287869 |
Entity Type | Individual |
Full Name | JASON EDWARD BACON |
Credential | M.D. |
Practice Address |
2401 S 31st St Temple TX 76508-1000 |
Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
Practice Telephone | 2547242111 |
Mailing Telephone | 2547242111 |
Enumeration Date | 2016-06-24 |
Last Update Date | 2020-08-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | MT212122 | PA | Allopathic & Osteopathic Physicians |
N | 208M00000X | Hospitalist | S6570 | TX | Allopathic & Osteopathic Physicians |
Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
S6570 | TX | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
801 Ostrum St, Bethlehem, PA 180151000 | 4845264000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336394568 | Jason Troy Bacon | Dentist | 3701 W. Northwest Hwy, Ste #306, Dallas, TX 75220 | 2008-12-02 |
Street Address |
2401 S 31ST ST |
City | TEMPLE |
State | TX |
Zip Code | 76508-1000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487650651 | Kathleen G Halka | Internal Medicine | 2401 S 31st St, Temple, TX 76508 | 2005-06-22 |
1720689060 | Christy Evans | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-11-03 |
1588264683 | Giuseppe Tavilla | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-28 |
1942809884 | Crystal Das | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-21 |
1730795766 | Joshua R Ledezma | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-09-15 |
1437762069 | Caroline Stanley | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-08-24 |
1841809191 | Deanette James | Registered Nurse | 2401 S 31st St, Temple, TX 76508-0001 | 2020-07-23 |
1285259309 | Amanda Lea Johnson | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-06-15 |
1013539758 | Brittany Ellis | Physical Therapist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-15 |
1114549508 | Matthew Marvin Galland | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619596491 | Samuel Adrian Matthys | Student in an Organized Health Care Education/Training Program | 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 | 2020-04-13 |
1700414968 | Darshan Patel | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 | 2020-03-31 |
1992332134 | Kiersi Harmon | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 | 2020-03-26 |
1053948851 | Christian Beltran | Student in an Organized Health Care Education/Training Program | 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 | 2020-03-24 |
1790311850 | Chinyere Ashley Onyirimba | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 | 2020-03-19 |
1578022398 | Kedric Glenn | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 | 2019-03-19 |
1518426592 | Muhammad Imran Bhatti | Student in an Organized Health Care Education/Training Program | Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 | 2019-03-18 |
1780143883 | Nathaniel Clayton Palmer | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 | 2019-03-18 |
1235620741 | Fahmida Musharof | Student in an Organized Health Care Education/Training Program | 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 | 2018-05-21 |
1275038325 | Robert Casey Alan Finch | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-ck-300, Temple, TX 76508 | 2018-03-29 |
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Taxonomy Code | 207RH0002X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hospice and Palliative Medicine |
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336376227 | Autumn Heather Stratton | Internal Medicine | 2401 S 31st St, Temple, TX 76508-0001 | 2009-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992280002 | Amity Palliative Care, Pa | Internal Medicine | 1600 Coit Rd Ste 209, Plano, TX 75075-6172 | 2018-09-25 |
1952893448 | Greater Texas Palliative Care Services Pllc | Internal Medicine | 21806 Barton Woods, San Antonio, TX 78259 | 2018-05-31 |
1265834543 | Shorr Hospice Holdings | Internal Medicine | 1115 N 4th St, Longview, TX 75601-4740 | 2014-09-18 |
1508267535 | Aspire Health Medical Partners of Texas Pa | Internal Medicine | 2455 Dunstan Rd Tx 2304, Suite 360, Houston, TX 77005-2304 | 2014-09-09 |
1558772905 | My Own Hospice LLC | Internal Medicine | 2943 Mossrock, San Antonio, TX 78230-5119 | 2014-05-19 |
1831500115 | Melissa Ann Johnson, Pllc | Internal Medicine | 212 Polo Trl, Colleyville, TX 76034-7577 | 2014-05-08 |
1114341716 | Alara Medical | Internal Medicine | 1222 Belleau Dr, Dallas, TX 75208-2709 | 2014-02-18 |
1245673755 | Sarah Stayer Mills | Internal Medicine | 1515 Holcombe Boulevard, Unit 008, Dep. of Palliative Care and Rehabilitation Medicine, Houston, TX 77030-4000 | 2013-04-15 |
1124255773 | Benjamin Keith Getter | Internal Medicine | 4242 E Piedras Dr Ste 200, San Antonio, TX 78228-1414 | 2009-06-22 |
1013030436 | Lawrence Michael Martinek | Internal Medicine | 3020 Sun Dance Drive, Harker Heights, TX 76548 | 2007-04-09 |
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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.