Active NPI
Jeffrey Allan Hammer, P.A.
- Physician Assistant
- Omaha, NE
National Provider Identifier
1043326473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1111
- Practice address
- 2429 M. Street
Omaha, NE 68107-2715 - Phone
- (402) 731-7333
- Fax
- (402) 614-5405
- NPI assigned
- Aug 21, 2006
- Last updated
- Jul 17, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1111 | IA | Primary |
Addresses
Primary practice location
2429 M. Street
Omaha, NE 68107-2715
Mailing address
P.O. Box 7365
Omaha, NE 68107-0365
Phone (402) 731-7333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026075600 | Medicaid | NE |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1111 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Iowa Regional Medical Center, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southeast Iowa Regional Medical Center
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1043326473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 7365",
"city": "OMAHA",
"state": "NE",
"postal_code": "681070365",
"telephone_number": "402-731-7333",
"fax_number": "402-614-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2429 M. STREET",
"city": "OMAHA",
"state": "NE",
"postal_code": "681072715",
"telephone_number": "402-731-7333",
"fax_number": "402-614-5405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMER",
"first_name": "JEFFREY",
"middle_name": "ALLAN",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "1111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026075600",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.