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NPI · 1245476282 · NPPES-sourced

Jack Runyan PA, PHD

ActiveMedical Physician Assistant
NPI Number
1245476282
Type 1 · Individual
Taxonomy Code
363AM0700X
Contact
(956) 572-4000
License TX · PA 01154
Last Updated
Enumerated
Primary practice addressTX · 75840
734 W Commerce StFairfield, TX 75840
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About this NPIWhat this record shows.

NPI 1245476282 is registered to Jack Runyan PA, PHD, a Medical Physician Assistant practising at 734 W Commerce St in Fairfield, Texas. Medical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jack Runyan PA, PHD has been enumerated in the National Provider Identifier (NPI) registry since 2008.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jack Runyan PA, PHD accepts. To confirm in-network status with your specific health plan, contact Jack Runyan PA, PHD directly at (956) 572-4000.

Frequently asked

Yes. NPI 1245476282 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Medical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (956) 572-4000.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jack Runyan PA, PHD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363AM0700X
Last updated
Enumerated
StatusActive
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5 records · same addressOther providers at this location.

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Same specialtyOther Medical Physician Assistant providers in Texas.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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