Active NPI
Janet Jang, MD
- Pediatric Gastroenterology Physician
- Tacoma, WA
National Provider Identifier
1265960280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 31201
- Practice address
- 9040 Jackson Ave
Tacoma, WA 98431-5001 - Phone
- (253) 968-0257
- Fax
- (253) 968-5294
- NPI assigned
- Jun 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | |||
| Pediatric Gastroenterology Physician | 2080P0206X | 31201 | NE | Primary |
Addresses
Primary practice location
9040 Jackson Ave
Tacoma, WA 98431-5001
Mailing address
9040A Jackson Ave
Joint Base Lewis-McChord, WA 98432
Phone (253) 968-0257
Other practice location 1
1 Boone Rd
Bremerton, WA 98312-1894
Phone (360) 475-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VAD000 | Other | MEDICARE UPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200824000145 | NE | Order and Referring Only - Pediatric Medicine | 1658797527 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1265960280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9040A JACKSON AVE",
"city": "JOINT BASE LEWIS-MCCHORD",
"state": "WA",
"postal_code": "98432",
"telephone_number": "253-968-0257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984315001",
"telephone_number": "253-968-0257",
"fax_number": "253-968-5294"
}
],
"practiceLocations": [
{
"address_1": "1 Boone Rd",
"address_purpose": "LOCATION",
"city": "Bremerton",
"state": "WA",
"postal_code": "983121894",
"country_code": "US",
"telephone_number": "360-475-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANG",
"first_name": "JANET",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-03",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NE",
"license": "31201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE UPIN",
"identifier": "VAD000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.