Jasper Health Worx LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JASPER HEALTH WORX LLC

Practice address

5960 Burlingame Ave SW Ste a
Wyoming, MI 49509-9398

Phone

(877) 291-6488

NPI assigned

Feb 2, 2024

Last updated

Feb 2, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

JASPER HEALTH WORX LLCAs reported in NPPES

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

Authorized official

Name

Kelli Lampert

Title

Director of Compliance

Phone

(812) 482-1041

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Jasper Health Worx LLC4 organizations share this tax ID, including this one

Part of

Jasper Health Worx LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Jasper Health Worx LLC

  • Family Medicine Physician
  • Leavenworth, IN
  • NPI 1538880570
  NPD tax ID
• Jasper Health Worx LLC

  dba Health WoRx

  • Family Medicine Physician
  • Willow Springs, MO
  • NPI 1689446189
  NPD tax ID
• Jasper Health Worx LLC

  • Family Medicine Physician
  • Jasper, IN
  • NPI 1710403795
  NPD tax ID

Locations

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1063275949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 BURLINGAME AVE SW STE A",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099398",
            "telephone_number": "877-291-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 BURLINGAME AVE SW STE A",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099398",
            "telephone_number": "877-291-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER HEALTH WORX LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JASPER HEALTH WORX LLC",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "LAMPERT",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "812-482-1041"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.