Organization Active NPI

J&G Medical Services PLLC

  • Obstetrics & Gynecology Physician
  • Prescott, AZ
National Provider Identifier
1649503111
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
J&G MEDICAL SERVICES PLLC
Practice address
802 Ainsworth Dr
Suite C
Prescott, AZ 86301-1623
Phone
(928) 583-7887
Fax
(928) 583-7886
NPI assigned
Sep 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Authorized official

Name
Jeanette Pilotte, MDNPI 1841395399
Title
Physician
Phone
(928) 583-7887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

802 Ainsworth Dr
Suite C
Prescott, AZ 86301-1623

Mailing address

PO Box 20490
Mesa, AZ 85277
Phone (480) 985-1093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091216000167 AZ Part B Supplier - Clinic/Group Practice 7416097829 Receives reassigned benefits from 2 practitioners
Practice locations: Prescott, AZ

National Provider Directory

National Provider Directory

Locations

1000 Willow Creek Rd
Ste E
Prescott, AZ 86301
Phone (928) 583-7887

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7830/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1649503111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20490",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85277",
            "telephone_number": "480-985-1093",
            "fax_number": "480-985-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 AINSWORTH DR",
            "address_2": "SUITE C",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011623",
            "telephone_number": "928-583-7887",
            "fax_number": "928-583-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&G MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "PILOTTE",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "928-583-7887",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.