Jatra LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

JATRA LLC

Practice address

410 Dewey St
Wisconsin Rapids, WI 54494-4715

Phone

(715) 422-7755

NPI assigned

Jul 22, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Ridhwi Mukerji, MD

Title

Owner

Phone

(913) 406-1433

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1801449541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 RIVER OAKS CT",
            "city": "KRONENWETTER",
            "state": "WI",
            "postal_code": "544557928",
            "telephone_number": "913-406-1433",
            "fax_number": "715-845-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 DEWEY ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944715",
            "telephone_number": "715-422-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JATRA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "MUKERJI",
        "authorized_official_first_name": "RIDHWI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-406-1433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Ingram
• Elizabeth Ironside, P.T.
• Matthew D. Ironside, MPT
• Macy Sue Jackan, OTR
• Amy J. Jaeger, DPM
• Lea R.C. Javenkoski, OTR
• Michelle Jenner, RN
• Katheryn S Jensen, PT
• Roxanne Marie Jeske, PHARMD
• Barry D Johnson, PHARMD

• Medical Specialty Clinic/Center in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Medical Specialty Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.