John Richard Jeffers, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

D6460 Issued in TX

Practice address

811 W I 20 Ste 218
Arlington, TX 76017-5873

Phone

(817) 277-7133

Fax

(817) 274-6367

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1215974191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W I 20 STE 218",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175873",
            "telephone_number": "817-277-7133",
            "fax_number": "817-274-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W I 20 STE 218",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175873",
            "telephone_number": "817-277-7133",
            "fax_number": "817-274-6367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 W Randol Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760122507",
            "country_code": "US",
            "telephone_number": "817-277-7133",
            "fax_number": "817-274-6367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 W Mayfield Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "76014",
            "country_code": "US",
            "telephone_number": "817-277-7133",
            "fax_number": "817-274-6367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 W Mayfield Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760142084",
            "country_code": "US",
            "telephone_number": "817-277-7133",
            "fax_number": "817-274-6367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERS",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "D6460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101558802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101558803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nardyme Jean-Louis
• Jedmocare LLC
• Jeff Manley DC PC
• Lisa D'Ann Jefferson Norman, LMFT
• Christine Jeffries, LPC
• Joe Jemelka
• Amy L Jenkins
• Christiana Omowunmi Jenkins

• Obstetrics & Gynecology Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.