Jonathan D Jahnke, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD14241 Issued in OR

Practice address

307 E Hancock St
Newberg, OR 97132-2825

Phone

(503) 538-2020

Fax

(503) 554-9549

NPI assigned

Jan 25, 2007

Last updated

Mar 1, 2017By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1174678429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E HANCOCK ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322825",
            "telephone_number": "503-538-2020",
            "fax_number": "503-554-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E HANCOCK ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322825",
            "telephone_number": "503-538-2020",
            "fax_number": "503-554-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHNKE",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD14241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142216",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Jacob
• Samantha Renee Jacobs Huwaldt
• Michael P. Jaczko, DO
• Melody Jadidollahi, PA
• Tyrell Jagelski, PA-C
• Jeff Moody, LLC
• Jennifer McLeod, DMD, PC
• Lynda Jensen, CADC-II
• Kirsten R. Johansson, NP, FNP
• Candi Johnson, LMT

• Specialist in Newberg, OR
• Providers in Newberg, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.