Organization Active NPI

JTW Medical Products, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Plano, TX
National Provider Identifier
1174741300
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0040198 Issued in TX
Legal business name
JTW MEDICAL PRODUCTS, INC.
Practice address
5228 W Plano Pkwy
Plano, TX 75093-5005
Phone
(972) 250-5738
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Mr. John Thomas Wall III
Title
President
Phone
(214) 325-5679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0040198 TX Primary

Addresses

Primary practice location

5228 W Plano Pkwy
Plano, TX 75093-5005

Mailing address

4760 Preston Rd
Suite 244-289
Frisco, TX 75034-8548

Other identifiers 1

IdentifierTypeStateIssuer
531299OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
JTW Medical Products Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4760 Preston Rd
Ste 244289
Frisco, TX 75034

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1174741300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 PRESTON RD",
            "address_2": "SUITE 244-289",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5228 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935005",
            "telephone_number": "972-250-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JTW MEDICAL PRODUCTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-325-5679",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0040198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "531299",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.