DR. GREGORY JOHN JAFFERS (NPI# 1568422772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568422772 |
Entity Type | Individual |
Full Name | DR. GREGORY JOHN JAFFERS |
Credential | M.D. |
Practice Address |
2401 S 31st Street Scott and White Hospital Temple TX 76508 |
Practice Telephone | 2547249462 |
Practice Fax Number | 2547245832 |
Mailing Telephone | 2547249462 |
Mailing Fax Number | 2547245832 |
Enumeration Date | 2006-03-23 |
Last Update Date | 2010-03-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204F00000X | Transplant Surgery | F6783 | TX | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | F6783 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | CSHCN | 1227464-02 | 01 |
TX | RR/MEDICARE | 020047407 | 01 |
TX | BLUE SHIELD | 83X693 | 01 |
TX | 1227464-03 | 05 |
Street Address |
2401 S 31ST STREET SCOTT AND WHITE HOSPITAL |
City | TEMPLE |
State | TX |
Zip Code | 76508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003377755 | Joshua Lee | Orthopaedic Surgery | 2401 S 31st Street, Ms-35-300, Temple, TX 76508 | 2019-03-26 |
1659750719 | Justin Wayne Holmes | Emergency Medicine | 2401 S 31st Street, Ms-11-ag062, Temple, TX 76508 | 2015-05-22 |
1710244199 | Robin Kendall | Student in an Organized Health Care Education/Training Program | 2401 S 31st Street, Dept of Radiation Oncology, Scott & White Healthcare, Temple, TX 76508 | 2012-04-23 |
1356608384 | Jian He | Pathology | 2401 S 31st Street, Ms-01-266, Temple, TX 76508 | 2012-04-16 |
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 |
Find all providers in zip 76508 |
Taxonomy Code | 204F00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Transplant Surgery |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851662001 | Debra Kay Doherty | Transplant Surgery | 2401 S 31st St, Department of Surgery, Temple, TX 76508-0001 | 2012-01-19 |
1871882209 | David Cha | Transplant Surgery | 2401 S 31st St, Temple, TX 76508-2200 | 2011-04-06 |
1649485301 | Scott and White Memorial Hospital and Scott, Sherwood and Brindley Fou | Transplant Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2007-05-14 |
1730308123 | Tun Jie | Transplant Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2007-04-24 |
1376595298 | Steve Roe Potter | Transplant Surgery | 2401 S 31st St, Temple, TX 76508 | 2006-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
1518273986 | Ashraf Ibrahim Reyad | Transplant Surgery | 909 9th Ave Ste 201, Fort Worth, TX 76104-3916 | 2010-08-24 |
1326372418 | Karoly Varga | Transplant Surgery | 5615 Twin Rivers Ct, Sugar Land, TX 77479-7133 | 2009-09-23 |
1922252717 | Methodist Physician Practices, Pllc | Transplant Surgery | 15727 Anthem Pkwy Ste 600, San Antonio, TX 78249-4158 | 2008-11-06 |
1043462609 | Aldo Elmer Rafael Yarihuaman | Transplant Surgery | 621 N Hall St Ste 120, Dallas, TX 75226-1307 | 2008-10-15 |
1235393208 | Tiffany L Anthony | Transplant Surgery | 7777 Forest Ln Ste B446, Dallas, TX 75230 | 2008-07-17 |
1023208949 | Govardhana Rao Yannam | Transplant Surgery | 2060 Space Park Dr Ste 100, Houston, TX 77058-3674 | 2007-07-26 |
1124240890 | Mourad Mousa Alsabbagh | Transplant Surgery | 1100 E Dove Ave Ste 200, Mcallen, TX 78504-4681 | 2007-05-03 |
1699805911 | Steven I. Hanish | Transplant Surgery | 5939 Harry Hines Blvd Ste 700, Dallas, TX 75235-6243 | 2007-03-06 |
1295889202 | Sameh Fayek | Transplant Surgery | 909 9th Ave Ste 402, Fort Worth, TX 76104-3932 | 2007-01-23 |
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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.