Individual provider Active NPI

Jonathan Joseph Neal, CPA

  • Physician Assistant
  • Klamath Falls, OR
National Provider Identifier
1457325375
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01080 Issued in OR
Practice address
4509 S 6TH St Ste 301
Klamath Falls, OR 97603-4883
Phone
(541) 238-6432
Fax
(541) 230-7130
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01080 OR Primary

Addresses

Primary practice location

4509 S 6TH St Ste 301
Klamath Falls, OR 97603-4883

Mailing address

4509 S 6TH St Ste 301
Klamath Falls, OR 97603-4883
Phone (541) 238-6432

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA01080ORMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1457325375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 S 6TH ST STE 301",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034883",
            "telephone_number": "541-238-6432",
            "fax_number": "541-230-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 S 6TH ST STE 301",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034883",
            "telephone_number": "541-238-6432",
            "fax_number": "541-230-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "JONATHAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "CPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA01080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.