Individual provider Active NPI

James P Jex, M.D.

  • General Practice Physician
  • Tonasket, WA
National Provider Identifier
1366496697
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD61071879 Issued in WA
Practice address
118 S Whitcomb Ave
Tonasket, WA 98855-9287
Phone
(509) 486-3191
Fax
(509) 486-4204
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD61071879 WA
General Practice Physician 208D00000X MD61071879 WA Primary

Addresses

Primary practice location

118 S Whitcomb Ave
Tonasket, WA 98855-9287

Mailing address

118 N. Whitcomb Ave
C/O: Credentialing
Tonasket, WA 98855-2053
Phone (509) 486-3191

Other practice location 1

22 W 1st St
Tonasket, WA 98855-8846
Phone (509) 486-3110

Other practice location 2

203 S Western Ave
C/O: Credentialing
Tonasket, WA 98855-9885
Phone (509) 486-3191

Other identifiers 1

IdentifierTypeStateIssuer
2162615MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200708001298 WA Practitioner - General PracticePractitioner - General SurgeryPractitioner - Family Practice 3678475258 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD61071879WAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Okanogan County Public Hospital Dist No 4 Current Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jul 1, 2020 Accepting new patients
Okanogan County Public Hospital Dist No 4 Current Accepting new patients
Eastern Medical Associates LLC Family Medicine Past Accepting new patients
Long Term Care Division of Ocphd 4 Past Accepting new patients

Locations

1617 Main St
Oroville, WA 98844
Phone (509) 476-3631

126 S Whitcomb Ave
Tonasket, WA 98855
Phone (509) 486-2151

203 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2151

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Valley Extended CareTonasket, WA, CCN 505454 Skilled nursing facility W-2 Managing Employee
Adp of the SNF
Jan 1, 2022
Jan 17, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1366496697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N. WHITCOMB AVE",
            "address_2": "C/O: CREDENTIALING",
            "city": "TONASKET",
            "state": "WA",
            "postal_code": "988552053",
            "telephone_number": "509-486-3191",
            "fax_number": "509-486-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S WHITCOMB AVE",
            "city": "TONASKET",
            "state": "WA",
            "postal_code": "988559287",
            "telephone_number": "509-486-3191",
            "fax_number": "509-486-4204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558846",
            "country_code": "US",
            "telephone_number": "509-486-3110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 S Western Ave",
            "address_2": "C/O: Credentialing",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988559885",
            "country_code": "US",
            "telephone_number": "509-486-3191",
            "fax_number": "509-486-3176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEX",
        "first_name": "JAMES",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD61071879",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD61071879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2162615",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonasket, WA

Sources for this page

Verify at the official NPI Registry.