Active NPI
James William Wilchester Jr., ATP
- Other Technician
- Stafford, TX
National Provider Identifier
1740543883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- ATP48858
- Practice address
- 13003 Murphy Rd
Suite G1
Stafford, TX 77477-3956 - Phone
- (281) 495-4400
- Fax
- (281) 495-4401
- NPI assigned
- Jun 22, 2012
- Last updated
- Jun 22, 2012
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | ATP48858 | TX | Primary |
Addresses
Primary practice location
13003 Murphy Rd
Suite G1
Stafford, TX 77477-3956
Mailing address
13003 Murphy Rd
Suite G1
Stafford, TX 77477-3956
Phone (281) 495-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATP48858 | TX | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active American Medical Supply Corp | Past | Accepting new patients | |
| Active American Scooter Co. | Past | Accepting new patients |
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.
-
dba Active American Mobility and Medical Supply
- Durable Medical Equipment & Medical Supplies
- Stafford, TX
- NPI 1124250386
-
dba Active American Mobility and Medical Supply
- Customized Equipment (DME)
- Stafford, TX
- NPI 1801900527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1740543883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13003 MURPHY RD",
"address_2": "SUITE G1",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773956",
"telephone_number": "281-495-4400",
"fax_number": "281-495-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13003 MURPHY RD",
"address_2": "SUITE G1",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773956",
"telephone_number": "281-495-4400",
"fax_number": "281-495-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCHESTER",
"first_name": "JAMES",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "ATP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-22",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "TX",
"license": "ATP48858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.