Individual provider Active NPI

Elisabeth Lee Jappay, MD

  • Internal Medicine Physician
  • Salem, OR
National Provider Identifier
1538214036
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD26489 Issued in OR
Practice address
1234 Commercial St SE
Salem, OR 97302-4204
Phone
(503) 362-9334
Fax
(503) 362-8016
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD26489 OR Primary

Addresses

Primary practice location

1234 Commercial St SE
Salem, OR 97302-4204

Mailing address

1234 Commercial St SE
Physicians' Building Group
Salem, OR 97302-4204
Phone (503) 362-9334

Other identifiers 1

IdentifierTypeStateIssuer
R154505OtherORMEDICARE ID TYPE UNSPECIFIED

Other names 1

  • Elizabeth Lee Jappay Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1538214036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 COMMERCIAL ST SE",
            "address_2": "PHYSICIANS' BUILDING GROUP",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024204",
            "telephone_number": "503-362-9334",
            "fax_number": "503-362-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024204",
            "telephone_number": "503-362-9334",
            "fax_number": "503-362-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAPPAY",
        "first_name": "ELISABETH",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD26489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "R154505",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "JAPPAY",
            "middle_name": "LEE",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.