Jmdo LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JMDO LLC

Practice address

866 Cy Ave
Casper, WY 82601-4162

Phone

(307) 200-9669

Fax

(814) 200-0084

NPI assigned

Dec 6, 2020

Organization subpart

No

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

Authorized official

Name

Jesse Miller, DO

Title

Owner

Phone

(307) 200-9669

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1607212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607212800000",
    "number": "1770189706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 S CEDAR ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826014141",
            "telephone_number": "307-200-9669",
            "fax_number": "814-200-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 CY AVE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826014162",
            "telephone_number": "307-200-9669",
            "fax_number": "814-200-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-06",
        "last_updated": "2020-12-06",
        "certification_date": "2020-12-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-200-9669",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya L Jernigan, PT, DPT
• Jessica L. Cassity D.D.S.
• Mario Jimenez
• Christy Lee Jindrick-Tholl, LPC
• Jan Marie Jividen, OTR/L
• John a Billings MD PC
• John L Bouzis
• John L. Roussalis M.D., P.C.
• Alexia Lein Johnson, RRT
• Beth Johnson, CCMA

• Family Medicine Physician in Casper, WY
• Providers in Casper, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2020; 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.