CARITAS FAMILY MEDICINE PA
NPI 1215042189
Family Medicine in Live Oak, TX

NPI Status: Active since August 20, 2006

Contact Information

11901 TOEPPERWEIN RD
SUITE 1201
LIVE OAK, TX
ZIP 78233
Phone: (210) 650-9066
Fax: (210) 650-9067

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  • Organization
  • Family Medicine
  • CLIA Number: 45D0501907
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-22-2027

About CARITAS FAMILY MEDICINE PA

This page provides the complete NPI Profile along with additional information for Caritas Family Medicine Pa, a primary care provider established in Live Oak, Texas operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1215042189 assigned on August 2006. The practitioner's primary taxonomy code is 207Q00000X with license number L8002 (TX). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jeffrey Alexander Cannon Md (President)

NPI
1215042189
Provider Name
CARITAS FAMILY MEDICINE PA
Entity Type
Organization
Location Address
11901 TOEPPERWEIN RD SUITE 1201 LIVE OAK, TX 78233
Location Phone
(210) 650-9066
Location Fax
(210) 650-9067
Mailing Address
11901 TOEPPERWEIN RD SUITE 1201 LIVE OAK, TX 78233
Mailing Phone
(210) 650-9066
Mailing Fax
(210) 650-9067
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-20-2006
Last Update Date
04-05-2017
Code Navigator

A primary care provider (PCP) like Caritas Family Medicine Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
L8002
License State
TX
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFFREY ALEXANDER CANNON MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(210) 650-9066

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
B26839MEDICARE UPIN (02)TX 
I15399MEDICARE UPIN (02)TX 
8C2060MEDICARE ID-TYPE UNSPECIFIED (04)TX 
P00178727OTHER (01)TXRAILROAD MEDICARE
112162601MEDICAID (05)TX 
010025319OTHER (01)TXRAILROAD MEDICARE
8P1541OTHER (01)TXBLUE CROSS
8C2061MEDICARE ID-TYPE UNSPECIFIED (04)TX 
8P1540OTHER (01)TXBLUE CROSS

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D0501907
Facility Type
Physician Office
Certificate Effective Date
August 23, 2025
Certificate Expiration Date
August 22, 2027
Laboratory Director
JEFFREY A. CANNON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Caritas Family Medicine Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CARITAS FAMILY MEDICINE PA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215042189, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 0 + 4 + 4 + 1 + 1 + 6 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1215042189.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
11901 TOEPPERWEIN RD, SUITE 1201
LIVE OAK, TX 78233
Family Medicine
11901 TOEPPERWEIN RD, SUITE1201
LIVE OAK, TX 78233
Dentist (General Practice)
11901 TOEPPERWEIN RD, SUITE 1104
LIVE OAK, TX 78233
Internal Medicine (Pulmonary Disease)
11901 TOEPPERWEIN RD, SUITE 1401
LIVE OAK, TX 78233
Internal Medicine (Critical Care Medicine)
11901 TOEPPERWEIN RD, SUITE 1401
LIVE OAK, TX 78233
Clinic/Center (Sleep Disorder Diagnostic)
11901 TOEPPERWEIN RD, STE 1401
LIVE OAK, TX 78233
Dentist (Endodontics)
11901 TOEPPERWEIN RD, 902
LIVE OAK, TX 78233
Occupational Therapist
11901 TOEPPERWEIN RD, SUITE 1106
LIVE OAK, TX 78233
Occupational Therapist
11901 TOEPPERWEIN RD, SUITE 1106
LIVE OAK, TX 78233
Speech-Language Pathologist
11901 TOEPPERWEIN RD
LIVE OAK, TX 78233
Occupational Therapist (Pediatrics)
11901 TOEPPERWEIN RD, STE.1106
LIVE OAK, TX 78233
Family Medicine
11901 TOEPPERWEIN RD, SUITE 1201
LIVE OAK, TX 78233
Internal Medicine (Pulmonary Disease)
11901 TOEPPERWEIN RD, SUITE 1401
LIVE OAK, TX 78233
Counselor (Professional)
11901 TOEPPERWEIN RD
LIVE OAK, TX 78233
Dietitian, Registered
11901 TOEPPERWEIN RD
LIVE OAK, TX 78233
Psychologist
11901 TOEPPERWEIN RD
LIVE OAK, TX 78233
Social Worker
11901 TOEPPERWEIN RD
LIVE OAK, TX 78233
Internal Medicine
11901 TOEPPERWEIN RD, SUITE 1402
LIVE OAK, TX 78233
Internal Medicine
11901 TOEPPERWEIN RD, SUITE 1402
LIVE OAK, TX 78233
Counselor (Mental Health)
11901 TOEPPERWEIN RD
LIVE OAK, TX 78233

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215042189, enumerated as an "organization" on August 20, 2006.

The provider is located at 11901 TOEPPERWEIN RD SUITE 1201 LIVE OAK, TX 78233 and the phone number is (210) 650-9066.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare and Blue. Please consult your insurance carrier or call the provider to verify.