Active NPI
JCM Medical PLLC
- Electrodiagnostic Medicine Physician
- Rowlett, TX
National Provider Identifier
1356858112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electrodiagnostic Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Electrodiagnostic Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q4202 | Other | TX | MEDICAL LICENSE |
Other names 1
- LKM Medical PLLC
National Provider Directory
National Provider DirectoryNPI 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.