Active NPI
JK Marketing, LLC
Doing business as Advance Infusion Center
- Infusion Therapy Clinic/Center
- Indiana, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Advance Infusion Center at Khan Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Advance Infusion at Center for Joint Health
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Advance Infusion at Center for Joint Health
- Infusion Therapy Clinic/Center
- McKees Rocks, PA
- NPI 1285283044
-
dba Vital Care of Hagerstown Infusion Clinic
- Infusion Therapy Clinic/Center
- Hagerstown, MD
- NPI 1932029402
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.
-
- Internal Medicine Physician
- Blairsville, PA
- NPI 1114983616
-
- Family Medicine Physician
- Marion Center, PA
- NPI 1437118965
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.