Organization Active NPI

Jacqueline S Orender DO LLC

  • Family Medicine Physician
  • Pittsburg, KS
National Provider Identifier
1184955023
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0529686 Issued in KS
Legal business name
JACQUELINE S ORENDER DO LLC
Practice address
2305 S. Tucker Terrace
Pittsburg, KS 66762-6623
Phone
(620) 231-3132
Fax
(620) 231-3133
NPI assigned
Jan 15, 2010
Last updated
Feb 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Jacqueline S Orender, D.O.NPI 1174559520
Title
Owner/Physician
Phone
(620) 231-3132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0529686 KS Primary

Addresses

Primary practice location

2305 S. Tucker Terrace
Pittsburg, KS 66762-6623

Mailing address

2305 S. Tucker Terrace
Pittsburg, KS 66762-2026
Phone (620) 231-3132

Other identifiers 1

IdentifierTypeStateIssuer
0529686OtherKSKANSAS LICENSE

National Provider Directory

National Provider Directory

Locations

1201 E Centennial Dr
Ste 1
Pittsburg, KS 66762
Phone (620) 231-3132

2305 S Tucker Ter
Pittsburg, KS 66762
Phone (620) 231-3132

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1184955023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 S. TUCKER TERRACE",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622026",
            "telephone_number": "620-231-3132",
            "fax_number": "620-231-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 S. TUCKER TERRACE",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626623",
            "telephone_number": "620-231-3132",
            "fax_number": "620-231-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE S ORENDER DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "ORENDER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "620-231-3132",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0529686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE",
            "identifier": "0529686",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.