Active NPI
Jenmark
- Internal Medicine Physician
- Issaquah, WA
National Provider Identifier
1184182008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- JENMARK
- Practice address
- 805 Front St S
Issaquah, WA 98027-4205 - Phone
- (425) 392-1271
- NPI assigned
- Mar 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Hammon, MD
- Title
- Owner/Physician
- Phone
- (206) 832-7078
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
805 Front St S
Issaquah, WA 98027-4205
Mailing address
10991 Echo Rock PL
Gig Harbor, WA 98332-5111
Phone (206) 832-7078
Other practice location 1
805 Front St S
Issaquah, WA 98027-4205
Phone (425) 392-1271
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552176000000",
"number": "1184182008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10991 ECHO ROCK PL",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983325111",
"telephone_number": "206-832-7078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 FRONT ST S",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980274205",
"telephone_number": "425-392-1271"
}
],
"practiceLocations": [
{
"address_1": "805 Front St S",
"address_purpose": "LOCATION",
"city": "Issaquah",
"state": "WA",
"postal_code": "980274205",
"country_code": "US",
"telephone_number": "425-392-1271",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JENMARK",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-10",
"last_updated": "2019-03-10",
"status": "A",
"authorized_official_last_name": "HAMMON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "206-832-7078",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.