Individual provider Active NPI

John Emerson Wineman, PA-C

  • Physician Assistant
  • Woodsboro, TX
National Provider Identifier
1396886198
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02729 Issued in TX
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PA02729OtherTXSTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110209001077 TX Practitioner - Physician Assistant 4981884871 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
PA02729TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Refugio County Memorial Hospital District CurrentSince Nov 6, 2023 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

  • FHIR API: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.