Jackson Orthopedic and Spine Clinic

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

42230 Issued in KY

Legal business name

JACKSON ORTHOPEDIC AND SPINE CLINIC

Practice address

832 Highway 15 N
Jackson, KY 41339-8284

Phone

(606) 568-9921

Fax

(330) 773-3698

NPI assigned

Feb 4, 2015

Last updated

Feb 4, 2015By 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

Giriraj Gupta, MD

Title

Owner

Phone

(606) 568-9921

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1366832883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 HIGHWAY 15 N",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413398284",
            "telephone_number": "606-568-9921",
            "fax_number": "330-773-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 HIGHWAY 15 N",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413398284",
            "telephone_number": "606-568-9921",
            "fax_number": "330-773-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON ORTHOPEDIC AND SPINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "GIRIRAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-568-9921",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "42230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Hospital Corporation (Kentucky River Medical Center)
• Jackson Hospital Corporation (Kentucky River ER, Anesth, Radiology)
• Jackson Hospital Corporation (Kentucky River Medical Center)
• Jackson Hospital Corporation (Kentucky River Clinics)
• Jackson Independent School District
• Jackson Physician Corp (Dba Jackson Urology)
• Jackson Physician Corp (Jackson Orthopedic Clinic)
• Jackson Physician Corp (Jackson Foot and Ankle Clinic)
• Jackson Physician Corp
• Jackson Womens Care

• Orthopaedic Surgery Physician in Jackson, KY
• Providers in Jackson, KY by specialty
• Orthopaedic Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.