Organization Active NPI

JCM Medical PLLC

  • Electrodiagnostic Medicine Physician
  • Rowlett, TX
National Provider Identifier
1356858112
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X
Legal business name
JCM MEDICAL PLLC
Practice address
3526 Lakeview Pkwy # B159
Rowlett, TX 75088-4176
Phone
(800) 310-7334
NPI assigned
Jan 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
John McElroy, MD
Title
Managing Member
Phone
(800) 310-7334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204R00000X Primary

Addresses

Primary practice location

3526 Lakeview Pkwy # B159
Rowlett, TX 75088-4176

Mailing address

Dept. 880202 PO Box 29650
Phoenix, AZ 85038-9650
Phone (800) 310-7334

Other identifiers 1

IdentifierTypeStateIssuer
Q4202OtherTXMEDICAL LICENSE

Other names 1

  • LKM Medical PLLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1356858112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT. 880202 PO BOX 29650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "800-310-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 LAKEVIEW PKWY # B159",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884176",
            "telephone_number": "800-310-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCM MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "MCELROY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "800-310-7334",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "Q4202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LKM Medical PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.