Jana Jaderborg, MD, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A77111 Issued in CA

Legal business name

JANA JADERBORG, MD, INC

Practice address

1575 S Railroad Ave
Crescent City, CA 95531-6821

Phone

(541) 332-5753

Fax

(541) 749-2130

NPI assigned

Aug 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jana Jaderborg, MD

Title

Owner

Phone

(541) 332-5753

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Jana M. Vanamburg, M.D.

  • Surgery Physician
  • Bend, OR
  • NPI 1548245640
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235140393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NE 3RD ST",
            "address_2": "STE 106, RM # 317",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013854",
            "telephone_number": "541-332-5753",
            "fax_number": "541-749-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 S RAILROAD AVE",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955316821",
            "telephone_number": "541-332-5753",
            "fax_number": "541-749-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANA JADERBORG, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JADERBORG",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-332-5753",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A77111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A771110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tameka Jackson, B.S IN PSYCHOLOGY
• Aimee Jacot, RN
• Dustin A Jacot, PA
• James a Morrow DO a Medical (Crescent City Family Practice)
• James C Standring
• Robert A Jason, DO
• Denise Byassee Jeffrey, RN
• John Richard Knox (Del Norte Physical Therapy)
• Bernadette Marie Johnson, LMFT
• Diane Mae Johnson, SUD

• Surgery Physician in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.