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Export Provider Record NPI 1184126575
Edward JiPA-C
Active
NPI Number1184126575
NPI TypeNPI-1 Individual
SpecialtyPhysician Assistant
Provider Details
NPI1184126575
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2018-03-01
Last Updated2023-09-18
Mailing Address11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
United States
Phone: (713) 442-0000
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Primary Practice Address2800 Garth Rd
Baytown, TX 77521-3947
United States
Phone: (281) 425-3800
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363A00000X – Physician AssistantTXPA11817
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About NPI 1184126575

Edward Ji PA-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1184126575. The primary specialty listed is Physician Assistant. The provider is located in Baytown, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-03-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1184126575?

NPI 1184126575 belongs to Edward Ji PA-C, a Physician Assistant in Baytown, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1184126575 active?

The current status of NPI 1184126575 in the NPPES registry is Active. The record was last updated on 2023-09-18.

What specialty is NPI 1184126575?

NPI 1184126575 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1184126575?

You can verify NPI 1184126575 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1184126575?

The primary practice address on file for NPI 1184126575 is 2800 Garth Rd, Baytown, TX 77521-3947. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1184126575 issued?

NPI 1184126575 was first issued (enumerated) on 2018-03-01. The NPPES record was last updated on 2023-09-18.

Practice Location Map

Edward Ji is located at 2800 Garth Rd, Baytown, TX. Use the map below to find directions or verify the practice location.

📍 2800 Garth Rd, Baytown, TX 77521-3947  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Edward Ji. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1184126575. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Physician AssistantPA11817TX
Data Verified from CMS NPPES Last synced: 2026-08-25 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162