Active NPI
James Scott Wrede, D.O., LLC
- Neuromusculoskeletal Medicine & OMM Physician
- North Falmouth, MA
National Provider Identifier
1518160837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 158481
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68929 | Other | MA | HPHC |
| 158481 | Other | MA | TUFTS |
| J21133 | Other | MA | BCBS |
| 3196321 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- North Falmouth, MA
- NPI 1023190634
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.