Active NPI
John H Jirka, MD
- Neonatal-Perinatal Medicine Physician
- Omaha, NE
National Provider Identifier
1245237429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 12684
- Practice address
- 8200 Dodge St
Omaha, NE 68114-4113 - Phone
- (402) 955-6140
- Fax
- (402) 955-3398
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 12684 | NE | Primary |
Addresses
Primary practice location
8200 Dodge St
Omaha, NE 68114-4113
Mailing address
PO Box 49
Pittsburgh, PA 15230-0049
Phone (412) 937-5949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12684 | NE | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245237429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 49",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152300049",
"telephone_number": "412-937-5949",
"fax_number": "412-937-5705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 DODGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "402-955-6140",
"fax_number": "402-955-3398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIRKA",
"first_name": "JOHN",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NE",
"license": "12684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.