Organization Active NPI

James Scott Wrede, D.O., LLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • North Falmouth, MA
National Provider Identifier
1518160837
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
158481 Issued in MA
Legal business name
JAMES SCOTT WREDE, D.O., LLC
Practice address
109A County Rd
North Falmouth, MA 02556-2019
Phone
(508) 564-6262
Fax
(508) 564-6204
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Dr. James Scott Wrede, D. O.NPI 1023190634
Title
President Physician
Phone
(508) 564-6262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X 158481 MA Primary

Addresses

Primary practice location

109A County Rd
North Falmouth, MA 02556-2019

Mailing address

109A County Rd
North Falmouth, MA 02556-2019
Phone (508) 564-6262

Other identifiers 4

IdentifierTypeStateIssuer
68929OtherMAHPHC
158481OtherMATUFTS
J21133OtherMABCBS
3196321MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090128000068 MA Part B Supplier - Clinic/Group Practice 2163586637 Receives reassigned benefits from 1 practitioner
Practice locations: N Falmouth, MA

National Provider Directory

National Provider Directory

Locations

109 County Rd
#A
North Falmouth, MA 02556
Phone (508) 564-6262

109A County Rd
North Falmouth, MA 02556
Phone (508) 564-6262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1518160837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109A COUNTY RD",
            "city": "NORTH FALMOUTH",
            "state": "MA",
            "postal_code": "025562019",
            "telephone_number": "508-564-6262",
            "fax_number": "508-564-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109A COUNTY RD",
            "city": "NORTH FALMOUTH",
            "state": "MA",
            "postal_code": "025562019",
            "telephone_number": "508-564-6262",
            "fax_number": "508-564-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES SCOTT WREDE, D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "WREDE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT   PHYSICIAN",
        "authorized_official_telephone_number": "508-564-6262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MA",
            "license": "158481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "68929",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "158481",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J21133",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3196321",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.