DR. JACOBUS J. WESTENBURG (NPI# 1912915166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912915166 |
| Entity Type | Individual |
| Full Name | DR. JACOBUS J. WESTENBURG |
| Credential | M.D. |
| Practice Address |
107 Avenue C Ne Box 215 Childress TX 79201-4515 |
| Mailing Address |
107 Ave. C Ne P.o. Box 215 Childress TX 79201-9201 |
| Practice Telephone | 9409378064 |
| Practice Fax Number | 9409379022 |
| Mailing Telephone | 9409378064 |
| Mailing Fax Number | 9409379022 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2009-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | C3904 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AIS121473602 | 05 |
| Street Address |
107 AVENUE C NE BOX 215 |
| City | CHILDRESS |
| State | TX |
| Zip Code | 79201-4515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567684 | Amie Hope Thomas | Counselor | 132 N Main St Ste D, Childress, TX 79201 | 2019-09-16 |
| 1710465182 | Tara Sims | Counselor | 101 Avenue C Ne, Childress, TX 79201 | 2018-07-30 |
| 1013391242 | Amanda Jo Browning Tucker | Optometrist | 707 Avenue F Nw, Childress, TX 79201 | 2015-07-17 |
| 1811332257 | Childress Outpost Pharmacy Inc | Pharmacy | 805 Hwy 83 N., Childress, TX 79201 | 2013-04-29 |
| 1700196748 | Cheryl Lynn Gary | Nurse Practitioner | 901 Hwy 83, Childress, TX 79201 | 2010-10-08 |
| 1205093341 | Dr Lendon Davis | Optometrist | 500 2nd St Ne, Childress, TX 79201 | 2008-05-16 |
| 1871777805 | Aimee Bowman | Physical Therapist | 901 Hwy 83 North, Childress, TX 79201 | 2007-12-27 |
| 1386726628 | Joseph Steele | Anesthesiology | 901 Highway 83 North, Childress, TX 79201 | 2006-10-19 |
| 1235220880 | Peter N Jones | Nurse Practitioner | 1001 Us Hwy 83 N, Childress, TX 79201 | 2006-09-27 |
| 1174625362 | Childress County Hospital District | Clinic/Center | 910 Rear Oak Lane, Childress, TX 79201 | 2006-09-01 |
| Find all providers in zip 79201 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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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.