Active NPI
Juliette A. Zumwalt, P.A.
- Physician Assistant
- Houston, TX
National Provider Identifier
1003000738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA05374
- Practice address
- 7401 S. Main
Houston, TX 77030-4509 - Phone
- (713) 799-2300
- Fax
- (713) 794-3380
- NPI assigned
- Sep 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA05374 | TX | Primary |
Addresses
Primary practice location
7401 S. Main
Houston, TX 77030-4509
Mailing address
7401 S. Main
Houston, TX 77030
Phone (713) 799-2300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8Y2794 | Other | TX | BCBS |
| 191576101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fondren Orthopedic Group L.L.P. | Current | Accepting new patients |
Locations
2635 W Baker Rd
Baytown, TX 77521
Phone (281) 337-8550
7401 Main St
Houston, TX 77030
Phone (713) 799-8600
Interoperability endpoints
- https://mountainstarhealthfhirprd.app.medcity.net/fhir-proxy/api/FHIR/R4/
- https://fhir-myrecord.cerner.com/r4/6c5673bf-1576-4b76-b281-a10d81e39c32/
- juliette.zumwalt.1@15533.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Houston, TX
- NPI 1609830595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1003000738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 S. MAIN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-799-2300",
"fax_number": "713-794-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 S. MAIN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304509",
"telephone_number": "713-799-2300",
"fax_number": "713-794-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUMWALT",
"first_name": "JULIETTE",
"middle_name": "A.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA05374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8Y2794",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "191576101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.