NPIMap

Organization Active NPI

Epss LLC - East Series

  • Emergency Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1841533882
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036098328 Issued in IL
Legal business name
EPSS LLC - EAST SERIES
Practice address
6300 Ridglea Place
Suite 201
Ft. Worth, TX 76116-5707
Phone
(817) 451-4208
Fax
(817) 563-3699
NPI assigned
Mar 28, 2013
Last updated
Jan 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Dr. James R Hubler, MD
Title
Owner/President
Phone
(817) 451-4208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036098328 IL Primary

Addresses

Primary practice location

6300 Ridglea Place
Suite 201
Ft. Worth, TX 76116-5707

Mailing address

PO Box 8316
Fort Worth, TX 76124-0316
Phone (817) 451-4208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140213001518 IL Part B Supplier - Clinic/Group Practice 8729213459 Receives reassigned benefits from 16 practitioners
Practice locations: Clinton, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1841533882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8316",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761240316",
            "telephone_number": "817-451-4208",
            "fax_number": "817-563-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 RIDGLEA PLACE",
            "address_2": "SUITE 201",
            "city": "FT. WORTH",
            "state": "TX",
            "postal_code": "761165707",
            "telephone_number": "817-451-4208",
            "fax_number": "817-563-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPSS LLC - EAST SERIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "HUBLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "817-451-4208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036098328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.

Verify at the official NPI Registry.