Medpeds, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01035567 Issued in IN

Legal business name

MEDPEDS, LLC

Practice address

3524 N 1St Ave
Evansville, IN 47710-3320

Phone

(812) 425-0300

Fax

(812) 428-8400

NPI assigned

Jan 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James E Jenison, MDNPI 1174511356

Title

Owner and Partner

Phone

(812) 425-0300

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HAAAAA

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.

• James E Jenison, MD

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1174511356
  Authorized official Same address or phone

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326193475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 N 1ST AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103320",
            "telephone_number": "812-425-0300",
            "fax_number": "812-428-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 N 1ST AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103320",
            "telephone_number": "812-425-0300",
            "fax_number": "812-428-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPEDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENISON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER AND PARTNER",
        "authorized_official_telephone_number": "812-425-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01035567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Services of America, Inc. (Medical Services of America Hospice)
• Gerard W Medicis, MSW, LCSW
• Medihealth Primary Care LLC
• Krisie L Medler, AGACNP
• Rebecca J Medler
• Rebecca Elizabeth Medrano, MS,CCC-SLP
• Sarah M Meehan, FNP
• Dana Edward Meeks, D.C.
• Mallory Meeks, SW
• Misty Rae Meeks, M.S. CCC-SLP

• Internal Medicine Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.