NPI age
14 years
Enumerated 2012-03-27
● Active
Type 1 · Individual
Kenneth M Jastrow III, M.D
Jastrow is 1 of 9 surgery providers in San Angelo and 1 of 3028 in Texas.
Primary specialty
Surgery
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-04-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3028 active surgery providers in Texas.
NPI age
14 years
↓ 4 yr below median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-03Enumerated in NPPES
2012
2026
Where they practice
Practice location
102 N Magdalen St
San Angelo, TX 769035400
Mailing address
Po Box 22000
San Angelo, TX 769027200
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | TXB154908 | MEDICARE PTAN |
| 01 (TX) | 8DN791 | BCBS |
Practice context
Part of a multi-provider practice. 68 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 3028 Surgery providers in Texas?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.