Jasper Health Worx LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

71003375A Issued in IN

Legal business name

JASPER HEALTH WORX LLC

Practice address

819 Wernsing Rd
Jasper, IN 47546-8141

Phone

(877) 291-6488

NPI assigned

Aug 21, 2017

Last updated

Sep 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Lou Goeppner, PHR

Title

Manager

Phone

(812) 482-1041

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Jasper Health Worx LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Jasper Health Worx LLC

  • Family Medicine Physician
  • Leavenworth, IN
  • NPI 1538880570
  NPD tax ID
• Jasper Health Worx LLC

  • Family Medicine Physician
  • Wyoming, MI
  • NPI 1063275949
  NPD tax ID
• Jasper Health Worx LLC

  dba Health WoRx

  • Family Medicine Physician
  • Willow Springs, MO
  • NPI 1689446189
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hilary Brehan Bonilla, FNP-C

  • Family Nurse Practitioner
  • Jasper, IN
  • NPI 1023649589
  NPD (past)

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1710403795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475470390",
            "telephone_number": "877-291-6488",
            "fax_number": "812-481-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 WERNSING RD",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475468141",
            "telephone_number": "877-291-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER HEALTH WORX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "GOEPPNER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "812-482-1041",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHR"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "71003375A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason T. Stubbs PC
• Jasper Anesthesia Care Associates, LLC
• Jasper Eye Clinic LLC
• Jasper Family Dentistry P.C.
• Jasper Family Physicians PC
• Jasper Inpatient Services, LLC
• Jasper Obstetrics and Gynecology Inc
• Jasper Pediatric Associates PC
• Jasper SNF Opco LLC
• Jasper Surgical Associates

• Family Medicine Physician in Jasper, IN
• Providers in Jasper, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.