Active NPI
Wishard S Lorimer III, MD
- Family Medicine Physician
- Fort Worth, TX
National Provider Identifier
1447276399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E2685
- Practice address
- 6601 Dan Danciger
Suite 100
Fort Worth, TX 76133-4953 - Phone
- (817) 294-2531
- Fax
- (817) 294-7425
- NPI assigned
- Jul 14, 2006
- Last updated
- Sep 30, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E2685 | TX | Primary |
Addresses
Primary practice location
6601 Dan Danciger
Suite 100
Fort Worth, TX 76133-4953
Mailing address
PO Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080194435 | Other | RAILROAD MEDICARE | |
| 099994803 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2685 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Care, P.L.L.C. | Past | Accepting new patients |
Interoperability endpoints
- wishard.lorimer.d1.p1@direct.thc.nextgenshare.com
- wishard.lorimer.p1@direct.thc.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1447276399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 961205",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761611205",
"telephone_number": "817-740-8400",
"fax_number": "817-294-7425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 DAN DANCIGER",
"address_2": "SUITE 100",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761334953",
"telephone_number": "817-294-2531",
"fax_number": "817-294-7425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORIMER",
"first_name": "WISHARD",
"middle_name": "S",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E2685",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080194435",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "099994803",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.