Jay A Takata (NPI# 1083801518, PAC ID# 6507750924) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1083801518 |
| PAC ID by PECOS | 6507750924 |
| Professional Enrollment ID | I20040209000420 |
| Full Name | Jay A Takata |
| Organization Legal Name | ATHENS GASTROENTEROLOGY PA |
| Address |
115 S Murchison St Athens TX 75751-2662 |
| Phone Number | 9036773737 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1989 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 4880588201 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450389 | EAST TEXAS MEDICAL CENTER ATHENS |
| 450083 | EAST TEXAS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 115 S Murchison St, Athens, TX 75751-2662 | 9036773737 | ATHENS GASTROENTEROLOGY PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_320_overall | Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients | 100% | |
| QCDR_EC_GIQIC10_overall | Appropriate management of anticoagulation in the peri-procedural period rate – EGD | 100% | |
| QCDR_EC_GIQIC12_overall | Appropriate indication for colonoscopy | 95% |
| Organization Legal Name | ATHENS GASTROENTEROLOGY PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A. Mahmoud | Physician Assistant | Athens Gastroenterology Pa | 115 S Murchison St, Athens, TX 75751-2662 |
| Street Address |
115 S MURCHISON ST |
| City | ATHENS |
| State | TX |
| Zip | 75751-2662 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A. Mahmoud | Physician Assistant | Athens Gastroenterology Pa | 115 S Murchison St, Athens, TX 75751-2662 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Job B Mongare | Neurology | 113 N Murchison St, Athens, TX 75751-2109 | |
| Kevin B Skinner | Physician Assistant | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Jennifer Williams | Nurse Practitioner | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Jennifer Lynn Humphreys | Nurse Practitioner | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Teresa A Kilbourn | Nurse Practitioner | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Jennifer Istre | Nurse Practitioner | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Dana J Santelli | Chiropractic | 890 W Corsicana, Suite 5, Athens, TX 75751-2260 | |
| Margaret S Allan-wilson | Clinical Social Worker | 600 S Palestine St, Suite 200, Athens, TX 75751-3310 | |
| William R Carter | Nurse Practitioner | 714 S Palestine St, Athens, TX 75751-3325 | |
| Mandy M Carter | Chiropractic | Mullen Chiropractic, LLC | 714 S Palestine, Athens, TX 75751-3325 |
| Find all physicians in zip 75751 | |||
| City | ATHENS |
| Zip Code | 75751 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | ATHENS + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Jay A Takata.
| 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.