JCSD Emergency Medical Group Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1000233 Issued in TX

Legal business name

JCSD EMERGENCY MEDICAL GROUP INC

Doing business as

MedicOne Medical Response

Practice address

14286 Gillis Rd
Farmers Branch, TX 75244-3722

Phone

(972) 554-9300

Fax

(972) 554-9302

NPI assigned

Mar 30, 2009

Last updated

Mar 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Reeves, NREMT-P

Title

President

Phone

(972) 554-9300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MedicOne Medical Response Doing business as

Locations

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1336381870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34837",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782654837",
            "telephone_number": "972-554-9300",
            "fax_number": "972-554-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14286 GILLIS RD",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752443722",
            "telephone_number": "972-554-9300",
            "fax_number": "972-554-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCSD EMERGENCY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-554-9300",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202976101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedicOne Medical Response",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Janis Allene Jelnick, BCTMB, LMT
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• Jensen Diagnostic & Treatment Center
• Jerry Daniel, MD, Mba, PA

• Land Ambulance in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.