Organization Active NPI

Richard D. Jelsma, MD, PA

  • Orthopaedic Surgery Physician
  • Sherman, TX
National Provider Identifier
1902028244
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
J8284 Issued in TX
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Richard Jelsma, MDNPI 1962494419
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0067RAOtherTXBLUE CROSS BLUE SHIELD
DG5309OtherTXRAIL ROAD MEDICARE PTAN
170862001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050110001019 TX Part B Supplier - Clinic/Group Practice 9638127277 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman, TX
O20100930028937 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9638127277 Practice locations: Sherman, TX

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.