DR. JON D PRICE II (NPI# 1316392087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316392087 |
| Entity Type | Individual |
| Full Name | DR. JON D PRICE II |
| Credential | M.D. |
| Practice Address |
697 Louisiana Rd Dyess Afb TX 79607-1141 |
| Mailing Address |
3341 Firedog Rd Abilene TX 79606-1749 |
| Practice Telephone | 3256966600 |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 01079904A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 W 5th St, Odessa, TX 797634206 | 4327035124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639131428 | Jon Matthew Price | Specialist/Technologist | 4400 Martin Luther King Blvd, Athletic Training, Beaumont, TX 77707 | 2006-04-05 |
| 1265975866 | Jon Price | Specialist/Technologist, Other | 1141 N Loop 1604 E # 105-612, San Antonio, TX 78232-1339 | 2016-11-30 |
| 1326025586 | Jon Price | Family Medicine | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2005-12-29 |
| Street Address |
697 LOUISIANA RD |
| City | DYESS AFB |
| State | TX |
| Zip Code | 79607-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043295041 | Mark Adam Summers | Preventive Medicine | 697 Louisiana Rd, 7th Mdg, Dyess Afb, TX 79607-1141 | 2005-12-13 |
| 1548810013 | Alexander Jeffrey Lawson | Military Health Care Provider | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2019-09-17 |
| 1467017905 | Joshua Lee Helmstadter | Dentist | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2019-05-09 |
| 1477118321 | Jordan Walsh | Social Worker | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2019-05-07 |
| 1104387299 | Rob Henry | Dentist | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2019-03-29 |
| 1790261436 | William Deleon Lawson | Physician Assistant | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2018-07-16 |
| 1528562709 | Dougls M Young | Preventive Medicine | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2018-03-21 |
| 1861994766 | Ian Christopher Sanford | Military Health Care Provider | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2018-03-06 |
| 1669987053 | Nikole Sprunger | Dietitian, Registered | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2017-12-06 |
| 1548780984 | Vinh Nguy | Family Medicine | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2017-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255636 | David Goodwin | Technician | 9201 Louisiana Dr, Dyess, TX 79607 | 2019-06-24 |
| 1952811572 | Whitney Howard | Pharmacist | 7 Mdg, 697 Louisiana Dr, Dyess Afb, TX 79607 | 2017-10-10 |
| 1114150455 | Sara Mccoskey | Military Health Care Provider | 697 Lousiann Dr, Dyess Afb Texas, Abilene, TX 79607 | 2009-09-03 |
| 1942246095 | Philip Ralph Barone | Dentist | 7 Amds/sgpd, Dyess Afb, Abilene, TX 79607 | 2006-06-20 |
| 1861452096 | Evelyn L Stender | Psychiatry & Neurology | 697 Hosp Rd, 7mdos/sgomh, Dyess Afb, TX 79607 | 2006-03-23 |
| 1508833021 | Alicia W Edwards | Social Worker | 697 Lousianna Dr, Dyess Afb, TX 79607 | 2006-03-02 |
| 1538133947 | Sandra Sue Rogers | Nurse Practitioner | 796 Louisiana Ave, Dyess Afb, TX 79607 | 2006-02-14 |
| 1457715369 | Jason Kelley | Social Worker | 697 Lousiana Drive, Dyess Afb, TX 79607 | 2016-04-06 |
| 1649519703 | William Mikizo Uechi | Physical Therapist | 697 Louisiana Drive, Dyess Afb, TX 79607 | 2013-02-10 |
| 1346577996 | Misti M Cox | Nurse Practitioner | 697 Louisiana Drive, Dyess Afb, TX 79607 | 2009-11-03 |
| Find all providers in zip 79607 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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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.