Cody Jorgensen, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2016019445 Issued in MO

Practice address

7846 Garnett St
Lenexa, KS 66214-1417

Phone

(785) 633-9939

NPI assigned

Apr 7, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Shawnee Mission Medical Center Inc

  • General Acute Care Hospital
  • Merriam, KS
  • NPI 1023171634
  NPD (past)
• Sunflower Medical Group PA

  • Internal Medicine Physician
  • Roeland Park, KS
  • NPI 1811955024

  Pediatrics

  NPD (past)
• Sunflower Medical Group, PA

  • Urgent Care Clinic/Center
  • Roeland Park, KS
  • NPI 1063683902
  NPD (past)

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1104280080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7846 GARNETT ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141417",
            "telephone_number": "785-633-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7846 GARNETT ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141417",
            "telephone_number": "785-633-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "CODY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2016019445",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "94-09093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Katelyn Jolly, APRN
• Elizabeth Jones, PT
• Emma Katherine Jones
• Morgan Katelyn Jones, DC
• Tawanda Lashay Jones
• Stacy Joslyn, LMSW
• Paul Marc Joubert, D.O.
• Journey Embraced Counseling LLC
• Ellen Jurgensmeyer
• Savannah Marie Jurgeson, BA, MS

• Pediatrics Physician in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.