Jett Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JETT FAMILY PRACTICE

Practice address

193 Main St
Norway, ME 04268-5645

Phone

(207) 743-9645

Fax

(207) 743-1954

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Laura Jett, MDNPI 1114013794

Title

Owner and Provider

Phone

(207) 743-9645

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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

• Laura Lea Jett, M.D.

  • Family Medicine Physician
  • Ipswich, MA
  • NPI 1114013794
  NPD (past) Authorized official
• Walter Dodard, DO

  • Obstetrics & Gynecology Physician
  • Watertown, NY
  • NPI 1699720516
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1720147168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 MAIN ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685645",
            "telephone_number": "207-743-9645",
            "fax_number": "207-743-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 MAIN ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685645",
            "telephone_number": "207-743-9645",
            "fax_number": "207-743-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JETT FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "JETT",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "207-743-9645",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2553559",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M197590",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Maxine Ilsley, FNP-C
• Infinite Horizons
• Lisa Ivey, SLPA
• Erin Victoria Jackson, OTR/L
• Laura E Jackson, FNP-C
• Kristin Kanchana Jhamb, MD
• Inga S Johannesson, DO
• Debra Jean Johnson, FNP
• Leora L Johnson, LCSW, CADC
• Thomas L Johnson, MD

• Family Medicine Physician in Norway, ME
• Providers in Norway, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.