Organization Active NPI

JK Marketing, LLC

Doing business as Advance Infusion Center at Khan Medical

  • Infusion Therapy Clinic/Center
  • Buckhannon, WV
National Provider Identifier
1316590177
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
JK MARKETING, LLC
Doing business as
Advance Infusion Center at Khan Medical
Practice address
4 Hartman Plaza
Buckhannon, WV 26201
Phone
(724) 717-2211
Fax
(844) 478-8267
NPI assigned
Jul 22, 2019
Last updated
Jul 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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) 717-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

4 Hartman Plaza
Buckhannon, WV 26201

Mailing address

280 Indian Springs Rd Ste 131
Indiana, PA 15701-3676
Phone (724) 717-2211

Other names 1

  • Advance Infusion Center at Khan Medical Doing business as

National Provider Directory

National Provider Directory

Locations

280 Indian Springs Rd
Ste 131
Indiana, PA 15701
Phone (724) 463-9300

4 Hartman PLZ
Buckhannon, WV 26201
Phone (724) 717-2211

4 Hartman PLZ
Buckhannon, WV 26201
Phone (877) 413-0299

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.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1316590177",
    "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": "724-717-2211",
            "fax_number": "844-478-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HARTMAN PLAZA",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "26201",
            "telephone_number": "724-717-2211",
            "fax_number": "844-478-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK MARKETING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "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": "724-717-2211"
    },
    "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 at Khan Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckhannon, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.