Sidney W Jaeger

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5000 Issued in NE

Practice address

1103 Buffalo BND
Lexington, NE 68850-1528

Phone

(308) 324-6386

Fax

(308) 324-6913

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1700828415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 BUFFALO BND",
            "address_2": "PO BOX 797",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501528",
            "telephone_number": "308-324-6386",
            "fax_number": "308-324-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 BUFFALO BND",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501528",
            "telephone_number": "308-324-6386",
            "fax_number": "308-324-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "SIDNEY",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "5000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47058329013",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonia Sue Howard, MS
• Katherine E. Hueftle, PA-C
• Jennifer C Hunke
• Aniso Abdi Hussein
• Bailey Irwin
• Francheska Jerez Hernandez
• Adriana Veronica Jiguan
• Ashton Johnson, DPT
• Mark R Jones, M.D.
• Priscila Juarez

• Medical Physician Assistant in Lexington, NE
• Providers in Lexington, NE by specialty
• Medical Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.