Jessen Surgical, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

JESSEN SURGICAL, INC

Practice address

1326 Andrea St
Bowling Green, KY 42104-3334

Phone

(270) 781-1588

Fax

(270) 781-1598

NPI assigned

Jul 15, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Connie Ann Laffin

Title

Office Manager

Phone

(270) 781-1588

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IFICBA

Practitioners 1

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

• Mark D. Jessen, M.D.

  • Surgery Physician
  • Bowling Green, KY
  • NPI 1033174982
  Medicare reassignment NPD

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1871934133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 ANDREA ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043334",
            "telephone_number": "270-781-1588",
            "fax_number": "270-781-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 ANDREA ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043334",
            "telephone_number": "270-781-1588",
            "fax_number": "270-781-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSEN SURGICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "LAFFIN",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-781-1588",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64293798",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvia Katherine Jennette, DO
• Mackenzie Ann Jensen, DO
• Kacy Lee Jent, APRN
• Terry M. Jepson, ARNP
• John W. Jeskie, O.D
• Mark D. Jessen, M.D.
• Twyla Jessie
• Cassey Jessup
• Amber Kelly Jewell, BS, RBT
• Arthur Riccardo Jey, M.D.

• Surgery Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.