Jem Medical Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21189 Issued in NE

Legal business name

JEM MEDICAL INC

Practice address

2555 S 177TH PLZ
Suite 172
Omaha, NE 68130-2878

Phone

(402) 505-2125

NPI assigned

Aug 18, 2010

Last updated

Aug 18, 2010By 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

Eric Johnson

Title

Ceo

Phone

(402) 505-2125

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1588979223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 S 177TH PLZ",
            "address_2": "SUITE 172",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S 177TH PLZ",
            "address_2": "SUITE 172",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302878",
            "telephone_number": "402-505-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEM MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-505-2125"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "21189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibukunola Charles Jegede, PH.D.
• Sara Razia Jeglum, PHD
• Saham Jelani
• Alexa Jelinek
• Nicole Lynn Jeltema, P.T.
• Theresa Jenkins-Chadwick, PSYD
• Brenda Jenkins
• Cheri Denise Jenkins, RN, MS, LMHP, APRN
• Cyarra Jenkins
• Cynthia Lafaye Jenkins, LMHP, LMT

• Family Medicine Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.