Active NPI
Jaia Sojka
- Medical Physician Assistant
- Waterford, WI
National Provider Identifier
1053572933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2270-23
- Practice address
- 818 Forrest Dr
Waterford, WI 53185-4577 - Phone
- (262) 514-8142
- NPI assigned
- Jun 23, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2270-23 | WI | Primary |
Addresses
Primary practice location
818 Forrest Dr
Waterford, WI 53185-4577
Mailing address
818 Forrest Dr
Waterford, WI 53185-4577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42003700 | Medicaid | WI |
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 |
|---|---|---|---|
| 227023 | WI | MD | Physician Assistant |
| 2270-23 | WI | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1053572933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 FORREST DR",
"city": "WATERFORD",
"state": "WI",
"postal_code": "531854577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 FORREST DR",
"city": "WATERFORD",
"state": "WI",
"postal_code": "531854577",
"telephone_number": "262-514-8142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOJKA",
"first_name": "JAIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WI",
"license": "2270-23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42003700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.