Individual provider Active NPI

Joel Wade Howell, PAC

  • Physician Assistant
  • Elkhart, TX
National Provider Identifier
1093779969
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03426 Issued in TX
Practice address
313 W Parker St
Elkhart, TX 75839
Phone
(903) 764-5626
NPI assigned
Apr 17, 2006
Last updated
Sep 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA03426 TX Primary

Addresses

Primary practice location

313 W Parker St
Elkhart, TX 75839

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400

Other practice location 1

734 W Commerce
Suite D
Fairfield, TX 75840
Phone (903) 389-2987

Other identifiers 4

IdentifierTypeStateIssuer
183172903MedicaidTX
139723421MedicaidTX
8K2533OtherTXBCBS
P02047877OtherTXMEDICARE RAIL ROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040210000060 TX Practitioner - Physician Assistant 4183518376 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA03426TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Jun 11, 2018 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jun 11, 2018 Accepting new patients
Texas Specialty Physicians Physician Assistant CurrentSince Dec 16, 2019 Accepting new patients
Texas Specialty Physicians CurrentSince Dec 16, 2019 Accepting new patients
East Texas Medical Center Healthcare Associates Past Accepting new patients

Locations

313 W Parker St
Elkhart, TX 75839
Phone (903) 731-4555

734 W Commerce St
Ste D
Fairfield, TX 75840
Phone (903) 389-2987

764 W Commerce St
Fairfield, TX 75840
Phone (903) 389-2181

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

514 S Bonham St
Ste D
Mexia, TX 76667
Phone (254) 562-5961

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1093779969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W PARKER ST",
            "city": "ELKHART",
            "state": "TX",
            "postal_code": "75839",
            "telephone_number": "903-764-5626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "734 W Commerce",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "TX",
            "postal_code": "75840",
            "country_code": "US",
            "telephone_number": "903-389-2987",
            "fax_number": "903-389-3021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "JOEL",
        "middle_name": "WADE",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183172903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139723421",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8K2533",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P02047877",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, TX

Sources for this page

Verify at the official NPI Registry.