Organization Active NPI

JK Marketing, LLC

Doing business as Advance Infusion Center

  • Infusion Therapy Clinic/Center
  • Indiana, PA
National Provider Identifier
1255892535
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
JK MARKETING, LLC
Doing business as
Advance Infusion Center
Advance Infusion Center at Khan Medical
Practice address
280 Indian Springs Rd Ste 131
Indiana, PA 15701-3676
Phone
(724) 463-9300
Fax
(844) 478-8267
NPI assigned
Mar 28, 2019
Last updated
Jul 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Authorized official

Name
James A Kodman
Title
Ceo
Phone
(724) 463-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

280 Indian Springs Rd Ste 131
Indiana, PA 15701-3676

Mailing address

280 Indian Springs Rd Ste 131
Indiana, PA 15701-3676
Phone (724) 463-9300

Other practice location 1

4 Hartman Plaza
Buckhannon, WV 26201
Phone (724) 717-2211

Other names 2

  • Advance Infusion Center Doing business as
  • Advance Infusion Center at Khan Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190523000311 PA Part B Supplier - Clinic/Group Practice 3072856673 Receives reassigned benefits from 3 practitioners
Practice locations: Indiana, PA

National Provider Directory

National Provider Directory
Tax ID family
Advance Infusion at Center for Joint Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

280 Indian Springs Rd
Indiana, PA 15701
Phone (724) 463-9300

4 Hartman PLZ
Buckhannon, WV 26201
Phone (724) 717-2211

Practitioners & affiliated clinicians

Practitioners 3

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": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1255892535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 INDIAN SPRINGS RD STE 131",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013676",
            "telephone_number": "724-463-9300",
            "fax_number": "844-478-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 INDIAN SPRINGS RD STE 131",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013676",
            "telephone_number": "724-463-9300",
            "fax_number": "844-478-8267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Hartman Plaza",
            "address_purpose": "LOCATION",
            "city": "Buckhannon",
            "state": "WV",
            "postal_code": "26201",
            "country_code": "US",
            "telephone_number": "724-717-2211",
            "fax_number": "844-478-8267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JK MARKETING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "KODMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-463-9300"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Infusion Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advance Infusion Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advance Infusion Center at Khan Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.