Individual provider Active NPI

Jed L Kaplan, MD

  • Gastroenterology Physician
  • Gadsden, AL
National Provider Identifier
1013909522
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
10761 Issued in AL
Practice address
900 Goodyear Ave
Suite a
Gadsden, AL 35903-1107
Phone
(256) 492-3220
Fax
(256) 492-3759
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 10761 AL Primary

Addresses

Primary practice location

900 Goodyear Ave
Suite a
Gadsden, AL 35903-1107

Mailing address

900 Goodyear Ave
Suite a
Gadsden, AL 35903-1107
Phone (256) 492-3220

Other identifiers 2

IdentifierTypeStateIssuer
100004215OtherALRAILROAD MEDICARE
529603810MedicaidAL

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10761ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Specialists of N.E. Alabama, P.C. CurrentSince Dec 1, 1991 Accepting new patients

Locations

900 Goodyear Ave
Ste A
Gadsden, AL 35903
Phone (205) 546-4777

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1013909522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 GOODYEAR AVE",
            "address_2": "SUITE A",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031107",
            "telephone_number": "256-492-3220",
            "fax_number": "256-492-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GOODYEAR AVE",
            "address_2": "SUITE A",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031107",
            "telephone_number": "256-492-3220",
            "fax_number": "256-492-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "JED",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "10761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100004215",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529603810",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.