Active NPI
James D Jansen, M.D.
- Surgery Physician
- Washington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2001022826
- Practice address
- 901 Patients First Dr
Washington, MO 63090-4700 - Phone
- (636) 239-2711
- Fax
- (636) 239-3385
- NPI assigned
- Jun 12, 2006
- Last updated
- Feb 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2001022826 | MO | Primary |
Addresses
Primary practice location
901 Patients First Dr
Washington, MO 63090-4700
Mailing address
901 Patients First Dr
Washington, MO 63090-4700
Phone (636) 239-2711
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205423007 | Medicaid | MO | |
| P01320590 | Other | MO | RAILROAD MEDICARE |
| 020051982 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Hyperbaric and Wound Care LLC | Surgery | Current | Accepting new patients |
| Patients First Health Care LLC | Surgery | Current | Accepting new patients |
| Mercy Hospitals East Communities | Past | Accepting new patients |
Locations
1015 Bowles Ave
Ste 1000
Fenton, MO 63026
Phone (636) 390-1400
9513 Highway 100
New Haven, MO 63068
Phone (573) 237-6100
851 E 5th St
Ste 108
Washington, MO 63090
Phone (636) 239-4144
851 E 5th St
Ste 152
Washington, MO 63090
Phone (636) 239-5155
901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500
Interoperability endpoints
- jjansen77023@directc.mercy.net
Organizations & group practices 3
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.
-
- Surgery Physician
- Festus, MO
- NPI 1336568864
-
dba Mercy Hospital Washington McAuley Clinic
- Rural Health Clinic/Center
- Washington, MO
- NPI 1104912997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1346282605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 PATIENTS FIRST DR",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630904700",
"telephone_number": "636-239-2711",
"fax_number": "636-239-3385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 PATIENTS FIRST DR",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630904700",
"telephone_number": "636-239-2711",
"fax_number": "636-239-3385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANSEN",
"first_name": "JAMES",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2001022826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205423007",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01320590",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020051982",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, MO
- Benjamin Ingenthron, PA
- J & C Goldsmith LLC (Scott's Home Health Medical Supply)
- J & C Goldsmith LLC (Beste Home Health Medical Supply)
- Polly Rebecca Jackson, AG-ACNP
- Leslie Corinn Jacobs, CRNA
- Sarah D Jasper, MSN, CPNP-PC
- Jon P. Lebsack, D.D.S., P.C.
- Daniel Donovan Jones, D.O.
- Georgia Jones, M.D.
- Ivy Nicole Jones, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.