Jordan Glen Memmott, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

V9065 Issued in TX

Practice address

1600 11TH St
Wichita Falls, TX 76301-4388

Phone

(940) 764-7000

NPI assigned

Mar 22, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmemmott80898@unitedregional.medalliesdirect.net
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dallam-Hartley Counties Hospital District

  • Critical Access Hospital
  • Dalhart, TX
  • NPI 1245353747
  Medicare reassignment NPD
• Titanium Emergency Group LLP

  • Emergency Medicine Physician
  • Wichita Falls, TX
  • NPI 1023075462
  Medicare reassignment NPD
• Dallam-Hartley Counties Hospital District

  • Critical Access Hospital
  • Dalhart, TX
  • NPI 1639176456
  Medicare reassignment
• Scurry County Hospital District

  • Emergency Medical Services (Emergency Medicine) Physician
  • Snyder, TX
  • NPI 1124139159
  Medicare reassignment
• Scurry County Hospital District

  • Critical Access Hospital
  • Snyder, TX
  • NPI 1578588463
  Medicare reassignment
• Dallam-Hartley Counties Hospital District

  • Rural Health Clinic/Center
  • Dalhart, TX
  • NPI 1467799262
  NPD
• Dallam-Hartley Counties Hospital District

  • Land Ambulance
  • Dalhart, TX
  • NPI 1689032856
  NPD
• United Regional Health Care System Inc

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  NPD
• High Country Community Rural Health Clinic

  • Medical Physician Assistant
  • Dalhart, TX
  • NPI 1699943191
  NPD (past)

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1942959366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 S 200 E",
            "city": "NEPHI",
            "state": "UT",
            "postal_code": "846482110",
            "telephone_number": "435-660-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 11TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014388",
            "telephone_number": "940-764-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMMOTT",
        "first_name": "JORDAN",
        "middle_name": "GLEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-22",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "V9065",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mrudula V Mehta, M.D.
• Melons and Cuties
• Melton Speech Services LLC
• Callie Sue Melton
• Shea Elizabeth Melton, SLP
• Rodrigo X Menchaca, MD
• Tessa Alexandra Menchaca, AUD
• Joe Mendoza Jr., M.D.
• Monica D Mendoza, LPC
• Cynia Donette Menzik, FNP

• Emergency Medicine Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.