Active NPI
JK Pulmonary and Sleep Medicine LLC
- Sleep Medicine (Internal Medicine) Physician
- Roswell, GA
National Provider Identifier
1508440652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- Legal business name
- JK PULMONARY AND SLEEP MEDICINE LLC
- Practice address
- 3465 Nettle LN NE
Roswell, GA 30075-2602 - Phone
- (215) 307-7411
- NPI assigned
- May 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Krahnke, DO
- Title
- Organizer
- Phone
- (215) 307-7411
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | |||
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | Primary |
Addresses
Primary practice location
3465 Nettle LN NE
Roswell, GA 30075-2602
Mailing address
3465 Nettle LN NE
Roswell, GA 30075-2602
Phone (215) 307-7411
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620172800000",
"number": "1508440652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3465 NETTLE LN NE",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752602",
"telephone_number": "215-307-7411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3465 NETTLE LN NE",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752602",
"telephone_number": "215-307-7411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JK PULMONARY AND SLEEP MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-05",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A",
"authorized_official_last_name": "KRAHNKE",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "ORGANIZER",
"authorized_official_telephone_number": "215-307-7411",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.