Individual provider Active NPI

Joseph W McNutt, M.D., P.A.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Frisco, TX
National Provider Identifier
1730183427
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
K1255 Issued in TX
Practice address
5575 Frisco Square Blvd Ste 120
Frisco, TX 75034-3309
Phone
(214) 472-8100
Fax
(214) 472-8140
NPI assigned
Jun 9, 2005
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X K1255 TX Primary

Addresses

Primary practice location

5575 Frisco Square Blvd Ste 120
Frisco, TX 75034-3309

Mailing address

5575 Frisco Square Blvd Ste 120
Frisco, TX 75034-3309
Phone (214) 472-8100

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041120000102 TX Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 7012981673 Practice locations: Frisco, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
JWMD Home Services PLLC Sports Medicine CurrentSince Mar 11, 2025 Accepting new patients
Roger Z Taylor M.D. Past Accepting new patients

Locations

5575 Frisco Square Blvd
Ste 120
Frisco, TX 75034
Phone (214) 472-8100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1730183427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 FRISCO SQUARE BLVD STE 120",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343309",
            "telephone_number": "214-472-8100",
            "fax_number": "214-472-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 FRISCO SQUARE BLVD STE 120",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343309",
            "telephone_number": "214-472-8100",
            "fax_number": "214-472-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNUTT",
        "first_name": "JOSEPH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "K1255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.