Active NPI
Jonathan Scott Wecker, LSA
- Surgical Assistant
- Flower Mound, TX
National Provider Identifier
1902138506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- SA00507
- Practice address
- 1901 Long Prairie Rd # 220-80
Flower Mound, TX 75022-4246 - Phone
- (214) 227-2457
- Fax
- (214) 764-0880
- NPI assigned
- Feb 5, 2010
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA00507 | TX | Primary |
Addresses
Primary practice location
1901 Long Prairie Rd # 220-80
Flower Mound, TX 75022-4246
Mailing address
PO Box 938
Rowlett, TX 75030-0938
Phone (214) 227-2457
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA00507 | TX | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1902138506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 938",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750300938",
"telephone_number": "214-227-2457",
"fax_number": "214-764-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 LONG PRAIRIE RD # 220-80",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750224246",
"telephone_number": "214-227-2457",
"fax_number": "214-764-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WECKER",
"first_name": "JONATHAN",
"middle_name": "SCOTT",
"credential": "LSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-05",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "SA00507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.