Active NPI
James Yarmchuk, MD
- Family Medicine Physician
- Dallas, TX
National Provider Identifier
1467475582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J3396
- Practice address
- 2922 Martin Luther King Jr Blvd
B
Dallas, TX 75215 - Phone
- (214) 426-3645
- NPI assigned
- Jul 26, 2006
- 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 | J3396 | TX | Primary |
Addresses
Primary practice location
2922 Martin Luther King Jr Blvd
B
Dallas, TX 75215
Mailing address
2922 Martin Luther King Jr Blvd
B
Dallas, TX 75215-2321
Phone (214) 426-3645
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047135102 | Medicaid | TX | |
| P00919158 | Other | TX | RAILROAD MEDICARE |
| 8CM688 | Other | TX | BCBS |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellis County Coalition for Health Options | Current | Accepting new patients | |
| Ellis County Coalition for Health Options | Current | Accepting new patients | |
| Dallas County Mental Health & Mental Retardation Center | Past | Accepting new patients |
Locations
805 W Lampasas St
Ennis, TX 75119
Phone (972) 875-9494
572 Coleman St
Waxahachie, TX 75165
Phone (972) 923-2440
411 E Jefferson St
Waxahachie, TX 75165
Phone (972) 923-2440
Interoperability endpoints
- james.yarmchuk.p1@direct.hopehealthtx.nextgenshare.com
- james.yarmchuk.1@12251.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Waxahachie, TX
- NPI 1326236464
-
- Federally Qualified Health Center (FQHC)
- Ennis, TX
- NPI 1073970141
-
- Psychiatry Physician
- Dallas, TX
- NPI 1023239886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394582400000",
"number": "1467475582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2922 MARTIN LUTHER KING JR BLVD",
"address_2": "B",
"city": "DALLAS",
"state": "TX",
"postal_code": "752152321",
"telephone_number": "214-426-3645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2922 MARTIN LUTHER KING JR BLVD",
"address_2": "B",
"city": "DALLAS",
"state": "TX",
"postal_code": "75215",
"telephone_number": "214-426-3645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARMCHUK",
"first_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2014-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J3396",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047135102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00919158",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8CM688",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.