Jefferson Neurology LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD25117 Issued in OR

Legal business name

JEFFERSON NEUROLOGY LLC

Practice address

2200 Bryant Williams Dr Ste 1
Klamath Falls, OR 97601-1121

Phone

(541) 880-2902

Fax

(541) 884-0848

NPI assigned

Apr 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Zakir M Ali, MD

Title

Ownder

Phone

(541) 488-5515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jefferson Neurology, LLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Ashland, OR
  • NPI 1952625188

  O20100604000349

  Same enrollment

Practitioners 3

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

• Carla Bloem, PA-C

  • Medical Physician Assistant
  • Medford, OR
  • NPI 1033146980
  NPD
• Katherine Sadzewicz Kahn, PA-C

  • Physician Assistant
  • Medford, OR
  • NPI 1952693616
  NPD
• Maria Elena Rivera, FNP

  • Nurse Practitioner
  • Medford, OR
  • NPI 1356977144
  NPD

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1780909408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 HIGHWAY 99 N",
            "address_2": "STE 2",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209152",
            "telephone_number": "541-482-5515",
            "fax_number": "541-482-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BRYANT WILLIAMS DR STE 1",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011121",
            "telephone_number": "541-880-2902",
            "fax_number": "541-884-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ZAKIR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "541-488-5515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD25117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi James, CADC-R
• Lynn M Jansky, O.T.R.
• Shelley Lynne Janssen, M.D.
• Hannah Kauffman Jantzi, M.D.
• Jason M Conaughty MD PC
• Zurick Jyjaun Jefferson
• Jeffrey a. Englestadter, DMD, PC
• Jeffrey B. McAtee, D.M.D., P.C.
• Crystal Marie Jennings
• Jade Hope Jensen, M.D.

• Neurology Physician in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Neurology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.