Active NPI
Richard D. Jelsma, MD, PA
- Orthopaedic Surgery Physician
- Sherman, TX
National Provider Identifier
1902028244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- J8284
- Legal business name
- RICHARD D. JELSMA, MD, PA
- Practice address
- 425 N Highland Ave
Suite 110
Sherman, TX 75092-7377 - Phone
- (903) 868-8800
- Fax
- (903) 868-4405
- NPI assigned
- May 3, 2007
- Last updated
- May 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Jelsma, MD
- Title
- Orthopedic Surgeon
- Phone
- (903) 868-8800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | J8284 | TX | Primary |
Addresses
Primary practice location
425 N Highland Ave
Suite 110
Sherman, TX 75092-7377
Mailing address
425 N Highland Ave
Suite 110
Sherman, TX 75092-7377
Phone (903) 868-8800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0067RA | Other | TX | BLUE CROSS BLUE SHIELD |
| DG5309 | Other | TX | RAIL ROAD MEDICARE PTAN |
| 170862001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Specialist
- Sherman, TX
- NPI 1962494419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1902028244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 N HIGHLAND AVE",
"address_2": "SUITE 110",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750927377",
"telephone_number": "903-868-8800",
"fax_number": "903-868-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 N HIGHLAND AVE",
"address_2": "SUITE 110",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750927377",
"telephone_number": "903-868-8800",
"fax_number": "903-868-4405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD D. JELSMA, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "JELSMA",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
"authorized_official_telephone_number": "903-868-8800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "J8284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0067RA",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE PTAN",
"identifier": "DG5309",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170862001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.