James Jelen, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA01282 Issued in TX

Practice address

701 S Zarzamora St
San Antonio, TX 78207-5209

Phone

(210) 358-7760

Fax

(210) 358-7555

NPI assigned

Aug 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Doctx3 PLLC

  • Orthopaedic Surgery Physician
  • Irving, TX
  • NPI 1467808618
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1386751444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR",
            "address_2": "MC 7977",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "210-450-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S ZARZAMORA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782075209",
            "telephone_number": "210-358-7760",
            "fax_number": "210-358-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELEN",
        "first_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA01282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189193902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew David Jeffreys, M.D.
• Sterling Francis Jeffries
• Jessica Jehle
• Jinuel Manahan Jehlen, RDH
• Brenda Lee Jelen-Borrego, LCSW
• Jem Physical Therapy & Sports Medicine, PLLC (Total Reset Physical Therapy)
• Daniel Gerard Jemison, PMHNP-BC
• James Jemison III
• Grace Elizabeth Jendrusch, RBT
• Matthew Ryan Jendrusch, PT, CKTP, MSPT

• Surgical Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.