Jeffery M Jauron, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

03477 Issued in IA

Practice address

Rock Island Arsenal
1 Rock Island
Rock Island, IL 61299-7240

Phone

(309) 782-0805

NPI assigned

Jan 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1306824925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROCK ISLAND ARSENAL",
            "address_2": "1 ROCK ISLAND",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612997240",
            "telephone_number": "309-782-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROCK ISLAND ARSENAL",
            "address_2": "1 ROCK ISLAND",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612997240",
            "telephone_number": "309-782-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAURON",
        "first_name": "JEFFERY",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "03477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6291278",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4291278",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00650328",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5291278",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Westasia Jackson
• Nathan Jacobs
• Paula Jaeger, M.S.ED, LCPC
• Supriya Jalukar, M.S.
• James a M Sales MD SC
• Claire E Jeffers
• Jeffrey F Fullenkamp DO LTD
• Joanne a Michaelson MD
• John C Hendricks MD SC
• Anitra Johnson, RN

• Family Medicine Physician in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.

Verify at the official NPI Registry.