Organization Active NPI

Jenmark

  • Internal Medicine Physician
  • Issaquah, WA
National Provider Identifier
1184182008
Registry record updated Mar 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Mar 10, 2019

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.