Organization Active NPI

David Jameson

Doing business as Annie Jeffrey Family Medicine

  • Family Medicine Physician
  • Osceola, NE
National Provider Identifier
1265735682
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DAVID JAMESON
Doing business as
Annie Jeffrey Family Medicine
Prairie Creek Family Medicine
Prairie Creek Family Medicine - Osceola
Practice address
531 Beebe St # 546
Osceola, NE 68651
Phone
(402) 747-8851
Fax
(402) 747-1407
NPI assigned
Dec 7, 2010
Last updated
Aug 7, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVID JAMESONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Authorized official

Name
David N Tompkins, CMOM
Title
Clinic Manager
Phone
(402) 764-2491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

531 Beebe St # 546
Osceola, NE 68651

Mailing address

1356 126TH Rd
Stromsburg, NE 68666-6240
Phone (402) 764-2491

Other names 3

  • Annie Jeffrey Family Medicine Doing business as
  • Prairie Creek Family Medicine Doing business as
  • Prairie Creek Family Medicine - Osceola Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David Jameson2 organizations share this tax ID, including this one
Part of
David Jameson

Other organizations with this tax ID 1

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

Locations

531 Beebe St
#546
Osceola, NE 68651
Phone (402) 747-8851

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1265735682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 126TH RD",
            "city": "STROMSBURG",
            "state": "NE",
            "postal_code": "686666240",
            "telephone_number": "402-764-2491",
            "fax_number": "402-764-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 BEEBE ST # 546",
            "city": "OSCEOLA",
            "state": "NE",
            "postal_code": "68651",
            "telephone_number": "402-747-8851",
            "fax_number": "402-747-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID JAMESON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID JAMESON",
        "enumeration_date": "2010-12-07",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "TOMPKINS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "402-764-2491",
        "authorized_official_credential": "CMOM"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Annie Jeffrey Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prairie Creek Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prairie Creek Family Medicine - Osceola",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osceola, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.