Joc Doc. Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-078142 Issued in IL

Legal business name

JOC DOC. INC.

Practice address

600 Valley View Dr
Moline, IL 61265-6118

Phone

(309) 762-2106

Fax

(309) 762-8523

NPI assigned

Mar 2, 2010

Organization subpart

No

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

Authorized official

Name

Kathryn Dirks

Title

Manager

Phone

(309) 762-2106

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1518280767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656118",
            "telephone_number": "309-762-2106",
            "fax_number": "309-762-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656118",
            "telephone_number": "309-762-2106",
            "fax_number": "309-762-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOC DOC. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "DIRKS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "309-762-2106"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-078142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynn Jasper, CSFA
• Jennifer Jasper, DPT
• Kaila Jenaman, APRN
• Zhujun Jiang, PSYD
• JKCD Healthcare Consulting, LLC (In-Home Care Connection Home Health Services, LLC)
• John Gnatovich DDS LTD
• John Van Straten DO SC
• John Williams DDS, PC
• Benton Kurt Johnson II, PHD, LCPC, LMHC, NCC
• Brad Johnson

• Family Medicine Physician in Moline, IL
• Providers in Moline, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.