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

Last updated

Jan 22, 2015By 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

Dr. Zakir M Ali, MDNPI 1699727750

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 4

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.

• Zakir M Ali, MD

  • Neurology Physician
  • Ashland, OR
  • NPI 1699727750
  Authorized official Same address or phone
• 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.