Ismael Ortego Jamora, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

10222 Issued in WV

Practice address

2520 Valley Dr
Suite # 116
PT Pleasant, WV 25550-2031

Phone

(304) 675-5188

Fax

(304) 675-3811

NPI assigned

Sep 21, 2006

Last updated

Dec 10, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1033217914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "255500236",
            "telephone_number": "304-675-5188",
            "fax_number": "304-675-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 VALLEY DR",
            "address_2": "SUITE # 116",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "255502031",
            "telephone_number": "304-675-5188",
            "fax_number": "304-675-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMORA",
        "first_name": "ISMAEL",
        "middle_name": "ORTEGO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "10222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0222664",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076037000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000504",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERICAL INSURANCE",
            "identifier": "550737600",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George B Corn PLLC
• Jordan Harris
• Rachelle A Hill, CFNP
• Monte Hoffman
• Robert M Holley, MD
• John F. Wiltz PLLC
• Kennerly Surgical PLLC
• Erin Kirk, M.A., ED.S
• Nancy Beth Lares, MD
• Mason County Action Group Inc

• Cardiovascular Disease Physician in PT Pleasant, WV
• Providers in PT Pleasant, WV by specialty
• Cardiovascular Disease Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.