Ja Medical Center PS

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00042028 Issued in WA

Legal business name

JA MEDICAL CENTER PS

Practice address

725 North Stanley Street
Suite a
Medical Lake, WA 99022-8819

Phone

(509) 299-2858

Fax

(509) 299-2868

NPI assigned

Jun 12, 2006

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

Jane-Frances Ifeoma Akpamgbo, MDNPI 1871535625

Title

Owner/President

Phone

(509) 299-2858

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Jane-Frances Ifeoma Akpamgbo, MD

  • Family Medicine Physician
  • Salem, OR
  • NPI 1871535625
  NPD (past) Authorized official
• Sandra A. Conner, ARNP

  • Family Medicine Physician
  • Airway Heights, WA
  • NPI 1003859638
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467494229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1175",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990221175",
            "telephone_number": "509-299-2858",
            "fax_number": "509-299-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NORTH STANLEY STREET",
            "address_2": "SUITE A",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990228819",
            "telephone_number": "509-299-2858",
            "fax_number": "509-299-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JA MEDICAL CENTER PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AKPAMGBO",
        "authorized_official_first_name": "JANE-FRANCES",
        "authorized_official_middle_name": "IFEOMA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "509-299-2858",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00042028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Hodges, COTA/L
• Melisa Renae Holdway, LMHC
• Ulista Hoover, M.D.
• David J Hughes
• Serban I Ionescu, MD
• Jeremiah Johnson, BSN
• Sage Nicole Johnson
• Angela Louise Jones, LMP
• Keblawi Pediatrics, PLLC
• Sabrina Arnott Keckalo, PA-C

• Family Medicine Physician in Medical Lake, WA
• Providers in Medical Lake, WA by specialty
• Family Medicine Physician in Washington

• 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.