Active NPI
John Kenneth Wueste, PA-C
- Surgical Physician Assistant
- Houston, TX
National Provider Identifier
1679582571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA00972
- Practice address
- 6431 Fannin St Ste 6.150
Houston, TX 77030-1501 - Phone
- (713) 500-7004
- NPI assigned
- Aug 7, 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA00972 | TX | Primary |
Addresses
Primary practice location
6431 Fannin St Ste 6.150
Houston, TX 77030-1501
Mailing address
6431 Fannin St Ste 6.150
Houston, TX 77030-1501
Phone (713) 500-7004
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00972 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Orthopedic Group, LLP | Past | Accepting new patients | |
| Memorial Hermann Health System | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/256/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/6286/brand/1/csg/1/fhir/r4
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.
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1295363497
-
dba Memorial Hermann Pharmacy-TMC
- Community/Retail Pharmacy
- Houston, TX
- NPI 1366229619
-
- Orthopaedic Surgery Physician
- Houston, TX
- NPI 1073644498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1679582571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 FANNIN ST STE 6.150",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "713-500-7004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6431 FANNIN ST STE 6.150",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "713-500-7004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUESTE",
"first_name": "JOHN",
"middle_name": "KENNETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA00972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.