Individual provider Active NPI

James Edward McCrary, D.O.

  • Emergency Medicine Physician
  • Converse, TX
National Provider Identifier
1811108731
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N5233 Issued in TX
Practice address
515 Olivia
Converse, TX 78109-2047
Phone
(210) 833-9252
Fax
(210) 223-2689
NPI assigned
May 24, 2007
Last updated
Apr 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X N5233 TX Primary
Family Medicine Physician 207Q00000X N5233 TX

Addresses

Primary practice location

515 Olivia
Converse, TX 78109-2047

Mailing address

515 Olivia
Converse, TX 78109-2047
Phone (210) 833-9252

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
I20100722000486 TX Practitioner - Family Practice 1557493855 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
N5233TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ess of South Texas LLC Emergency Medicine CurrentSince Oct 5, 2018 Accepting new patients
HCC of Fairfield LLC CurrentSince May 2, 2019 Accepting new patients
Ess of Fairfield LLC Emergency Medicine CurrentSince May 2, 2019 Accepting new patients

Locations

125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

Interoperability endpoints

  • Direct secure messaging: fmcjmccra@yourcarecommunity.org

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, 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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1811108731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 OLIVIA",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092047",
            "telephone_number": "210-833-9252",
            "fax_number": "210-223-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 OLIVIA",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092047",
            "telephone_number": "210-833-9252",
            "fax_number": "210-223-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRARY",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N5233",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N5233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Converse, TX

Sources for this page

Verify at the official NPI Registry.