Active NPI
Jeff Wilson, ATP
- Other Technician
- Sherman, TX
National Provider Identifier
1154609634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- ATP46158
- Practice address
- 8015 S US Highway 75
Sherman, TX 75090-5707 - Phone
- (903) 532-5656
- Fax
- (903) 532-5665
- NPI assigned
- Aug 1, 2011
- Last updated
- Aug 1, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | ATP46158 | TX | Primary |
Addresses
Primary practice location
8015 S US Highway 75
Sherman, TX 75090-5707
Mailing address
8015 S US Highway 75
Sherman, TX 75090-5707
Phone (903) 532-5656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATP46158 | TX | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aoc-DME Corp. | Past | Accepting new patients | |
| United Seating and Mobility LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Angels of Care Medical Equipment and Supplies
- Durable Medical Equipment & Medical Supplies
- Sherman, TX
- NPI 1093800195
-
dba Numotion
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1801181003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1154609634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8015 S US HIGHWAY 75",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750905707",
"telephone_number": "903-532-5656",
"fax_number": "903-532-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8015 S US HIGHWAY 75",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750905707",
"telephone_number": "903-532-5656",
"fax_number": "903-532-5665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JEFF",
"credential": "ATP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-01",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "TX",
"license": "ATP46158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman, TX
- Willows at Sherman Assisted Living & Memory Care, LP (Willows at Sherman)
- Wills Family Clinic, P.a.
- Susan Elaine Wills, M.D.
- Wilson N Jones Memorial Hospital (Wilson N Jones Medical Center)
- Wilson N Jones Memorial Hospital, Inc (WNJ EKG Group)
- Lisa Ann Wilson
- Lorraine Wilson
- Amy Elizabeth Withrow, RN
- Beata Wojciechowska
- Jan Kazimierz Wojciechowski
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.