Active NPI
Jill Marie Doerfler-Iniguez, MD
- Family Medicine Physician
- Russell, KS
National Provider Identifier
1801013628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6459
- Practice address
- 222 S Kansas
Russell, KS 67665-3000 - Phone
- (785) 483-3333
- Fax
- (785) 483-0781
- NPI assigned
- Apr 20, 2007
- Last updated
- Jul 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6459 | KS | Primary |
Addresses
Primary practice location
222 S Kansas
Russell, KS 67665-3000
Mailing address
222 S Kansas
Russell, KS 67665-3000
Phone (785) 483-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6459 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1801013628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 S KANSAS",
"city": "RUSSELL",
"state": "KS",
"postal_code": "676653000",
"telephone_number": "785-483-3333",
"fax_number": "785-483-0781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 S KANSAS",
"city": "RUSSELL",
"state": "KS",
"postal_code": "676653000",
"telephone_number": "785-483-3333",
"fax_number": "785-483-0781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERFLER-INIGUEZ",
"first_name": "JILL",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "6459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Russell, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.