Organization Active NPI

Mogerman Jason Orthopaedic Institute,LLC

  • Orthopaedic Surgery Physician
  • Waymart, PA
National Provider Identifier
1659345429
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MOGERMAN JASON ORTHOPAEDIC INSTITUTE,LLC
Practice address
27A Woodlands Dr
Waymart, PA 18472-9366
Phone
(570) 488-9880
NPI assigned
Feb 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Jeffrey A Mogerman, MD
Title
Solo
Phone
(570) 488-9880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

27A Woodlands Dr
Waymart, PA 18472-9366

Mailing address

27A Woodlands Dr
Waymart, PA 18472-9366
Phone (570) 488-9880

Other identifiers 2

IdentifierTypeStateIssuer
001880725MedicaidPA
1343003OtherBS

National Provider Directory

National Provider Directory

Locations

27A Woodlands Dr
Waymart, PA 18472
Phone (570) 488-9600

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1659345429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27A WOODLANDS DR",
            "city": "WAYMART",
            "state": "PA",
            "postal_code": "184729366",
            "telephone_number": "570-488-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27A WOODLANDS DR",
            "city": "WAYMART",
            "state": "PA",
            "postal_code": "184729366",
            "telephone_number": "570-488-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOGERMAN JASON ORTHOPAEDIC INSTITUTE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "MOGERMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLO",
        "authorized_official_telephone_number": "570-488-9880",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001880725",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "1343003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waymart, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.