JS&H Orthopedic Supply L L C

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0067955A Issued in TX

Legal business name

JS&H ORTHOPEDIC SUPPLY L L C

Practice address

4410 W Vickery Blvd
Suite 104
Fort Worth, TX 76107-6242

Phone

(817) 624-0102

Fax

(817) 624-9950

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Sylvia Jean Willett

Title

Owner

Phone

(817) 624-0102

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1366449019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 W VICKERY BLVD",
            "address_2": "SUITE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076242",
            "telephone_number": "817-624-0102",
            "fax_number": "817-624-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W VICKERY BLVD",
            "address_2": "SUITE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076242",
            "telephone_number": "817-624-0102",
            "fax_number": "817-624-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS&H ORTHOPEDIC SUPPLY L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "WILLETT",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-624-0102",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0067955A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "531352",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172326401",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JPS Physician Group, Inc.
• Jpshealth Network
• Nezar Y Jrebi, MD
• JRL Properties International, Inc.
• JS&H Orthopedic Supply L L C
• JTJ Marketing
• JTM Rooted in Care LLC
• Amanda Raye Juarez, CPNP-PC
• Denise Juarez, OTR
• Jesse Juarez

• Durable Medical Equipment & Medical Supplies in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.