Active NPI
John Emerson Wineman, PA-C
- Physician Assistant
- Woodsboro, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02729
- Practice address
- 120 Wood Ave
Woodsboro, TX 78393 - Phone
- (361) 543-5414
- Fax
- (361) 543-5420
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02729 | TX | Primary |
Addresses
Primary practice location
120 Wood Ave
Woodsboro, TX 78393
Mailing address
120 Wood Ave
Woodsboro, TX 78393
Phone (361) 543-5414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA02729 | Other | TX | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
107 Swift St
Refugio, TX 78377-2425
Phone 3615262321138
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA02729 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refugio County Memorial Hospital District | Current | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| Refugio County Memorial Hospital District | Past | Accepting new patients | |
| Refugio County Memorial Hospital District | Past | Accepting new patients |
Locations
107 Swift St
Refugio, TX 78377
Phone (361) 526-2321
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/7f96711f-afb0-4764-969a-c5d57fe30c59/
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Refugio, TX
- NPI 1821178336
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
dba Refugio Rural Health Clinic
- Rural Health Clinic/Center
- Refugio, TX
- NPI 1215983598
-
dba Woodsboro Medical Clinic
- Rural Health Clinic/Center
- Woodsboro, TX
- NPI 1467495184
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Refugio, TX
- NPI 1942240189
-
- Home Health Agency
- Rockport, TX
- NPI 1073560694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396886198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WOOD AVE",
"city": "WOODSBORO",
"state": "TX",
"postal_code": "78393",
"telephone_number": "361-543-5414",
"fax_number": "361-543-5420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 WOOD AVE",
"city": "WOODSBORO",
"state": "TX",
"postal_code": "78393",
"telephone_number": "361-543-5414",
"fax_number": "361-543-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINEMAN",
"first_name": "JOHN",
"middle_name": "EMERSON",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02729",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "PA02729",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodsboro, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.