Ann R Jesick, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD036779 Issued in PA

Practice address

15 S 8TH St
Indiana, PA 15701-2776

Phone

(724) 349-7388

Fax

(724) 463-7072

NPI assigned

Aug 29, 2005

Reactivated

Apr 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1487647053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S 8TH ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012776",
            "telephone_number": "724-349-7388",
            "fax_number": "724-463-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S 8TH ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012776",
            "telephone_number": "724-349-7388",
            "fax_number": "724-463-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESICK",
        "first_name": "ANN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2010-01-13",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD036779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1132167",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "162082",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7853184",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Jasiewicz
• Ronald L Jasper, DO
• Jeffrey D Martens MD PC
• Callie Rae Jellots, PHARMD
• Nicholas Murray Jellots, PHARMD
• Moses Micah Jevicky, D.C,
• JK Marketing, LLC (Advance Infusion Center)
• John M Neale MD LTD
• John S Gregg MD
• Kolby Johnson, DPT

• Family Medicine Physician in Indiana, PA
• Providers in Indiana, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.

Verify at the official NPI Registry.