Gregory R Jespersen, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO00000415 Issued in WA

Practice address

19309 218TH PL NE
Woodinville, WA 98077-7112

Phone

(425) 788-1484

Fax

(425) 788-2024

NPI assigned

Nov 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gregory R Jespersen & Cathy L Thosath

  • Primary Podiatric Medicine Podiatrist
  • Woodinville, WA
  • NPI 1720296882
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1669551008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1786",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980191786",
            "telephone_number": "425-788-1484",
            "fax_number": "425-788-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19309 218TH PL NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980777112",
            "telephone_number": "425-788-1484",
            "fax_number": "425-788-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESPERSEN",
        "first_name": "GREGORY",
        "middle_name": "R",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-05",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213E00000X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrative Health Institute
• Samson Manoah Irish-Lodge, LMFTA
• Ivy Mental Health, PLLC
• Ruth Esther James
• Jerald D. Bates, D.D.S., PLLC
• Steven Paul Jewitt, M.D.
• Evghenii Valentin Jignea
• Christopher Lee Johnson, MD
• Paul Robert Johnson, LMHC
• Ingrid Johnston

• Podiatrist in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.