David M Jahn, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1111 N State St
Monticello, IL 61856-1151

Phone

(217) 762-2115

Fax

(217) 762-6165

NPI assigned

Oct 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407847569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N STATE ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618561151",
            "telephone_number": "217-762-2115",
            "fax_number": "217-762-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N STATE ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618561151",
            "telephone_number": "217-762-2115",
            "fax_number": "217-762-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHN",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Hicks, FNP
• Brandon J Hissong, DMD
• Evelyn Huang, MD
• Mark Raymond Hudson, D.M.D.
• Illini Eyecare Monticello Inc
• John & Mary E Kirby Hospital
• Curtis E Johnson, OD
• Madelynn Ann Kallembach, ATC
• Lisa F Kamm, RN CRNA LD
• Kirby Medical Center

• Physician Assistant in Monticello, IL
• Providers in Monticello, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.