Jessica Beth Jaskolka, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2008-00672 Issued in NC

Practice address

1606 Wellington Ave
Suite E
Wilmington, NC 28401-7747

Phone

(910) 452-1999

Fax

(910) 452-1883

NPI assigned

Apr 20, 2007

Last updated

Jul 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jjaskolka1247614@direct.novanthealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seaside Pediatrics

  • Pediatrics Physician
  • Wilmington, NC
  • NPI 1346486891
  NPD (past)
• Spectrum Medical Care, Inc.

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1861794851
  NPD (past)
• Jessica Beth Salansky MD PLLC

  • Pediatrics Physician
  • Charleston, WV
  • NPI 1699071993
  NPD (past)
• Mountain State Medical Associates PLLC

  • Internal Medicine Physician
  • Charleston, WV
  • NPI 1447349238
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1316164155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 WELLINGTON AVE",
            "address_2": "SUITE E",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017747",
            "telephone_number": "910-452-1999",
            "fax_number": "910-452-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 WELLINGTON AVE",
            "address_2": "SUITE E",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017747",
            "telephone_number": "910-452-1999",
            "fax_number": "910-452-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASKOLKA",
        "first_name": "JESSICA",
        "middle_name": "BETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2008-00672",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "24142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810019099",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guzel Aikovna Jansen
• Christopher Ayodele Jarrett, MD
• Claudius D. Jarrett, M.D.
• Kaitlyn N Jarvela
• Torin Jarvis
• Michael S. Jaskolka, DDS, MD
• Nicholas Robert Jasper, MD
• Lara Jaussi, D.O.
• Zuleika Javed, DDS
• Leila Javier

• Pediatrics Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.