Joanne Fodemski

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JOANNE FODEMSKI

Practice address

730 Wirtz Rd
Crown Point, IN 46307

Phone

(219) 226-0424

Fax

(219) 226-0426

NPI assigned

Apr 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Joanne Fodemski

Title

Owner

Phone

(219) 226-0424

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Jaran Medical Services Doing business as

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1649232190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1286",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463081286",
            "telephone_number": "219-226-0424",
            "fax_number": "219-226-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 WIRTZ RD",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "46307",
            "telephone_number": "219-226-0424",
            "fax_number": "219-226-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE FODEMSKI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "FODEMSKI",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-226-0424",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200466780A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000000220428",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0582874",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jaran Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hamza Javed, DDS
• Felicia Renee Jeffers, DPT, PT
• Samantha Jenkins
• Jerry E. Lambert, Jr., D.D.S., P.C.
• JMK Physical Therapy
• Johnson Family Health Care
• Adam Michael Johnson, MA
• Angele Johnson, RBT
• Ashley Marie Johnson, FNP
• Ashley R Johnson, REGISTERED NURSE

• Durable Medical Equipment & Medical Supplies in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.