Active NPI
John R Janes Jr., M.D.
- Anesthesiology Physician
- Alta, WY
National Provider Identifier
1831187681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 11126A
- Practice address
- 250 Yellow Rose Dr
Alta, WY 83414 - Phone
- (804) 363-9081
- NPI assigned
- Oct 6, 2005
- Last updated
- Jan 28, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0101032736 | VA | |
| Anesthesiology Physician | 207L00000X | 11126A | WY | Primary |
Addresses
Primary practice location
250 Yellow Rose Dr
Alta, WY 83414
Mailing address
250 Yellow Rose Dr
Alta, WY 83414
Phone (804) 363-9081
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5764700 | Medicaid | VA |
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 |
|---|---|---|---|
| 0101032736 | VA | MD | Anesthesiology Physician |
| 11126A | WY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanover Anesthesia Group,Inc | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Mechanicsville, VA
- NPI 1558387738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1831187681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 YELLOW ROSE DR",
"city": "ALTA",
"state": "WY",
"postal_code": "83414",
"telephone_number": "804-363-9081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 YELLOW ROSE DR",
"city": "ALTA",
"state": "WY",
"postal_code": "83414",
"telephone_number": "804-363-9081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANES",
"first_name": "JOHN",
"middle_name": "R",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101032736",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WY",
"license": "11126A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5764700",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alta, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.