NPIMap

Organization Active NPI

Jalex, LLC

  • General Practice Physician
  • Cleveland, TN
National Provider Identifier
1881950889
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD0000027058 Issued in TN
Legal business name
JALEX, LLC
Practice address
3372 Keith St NW
Cleveland, TN 37312-3718
Phone
(423) 476-3278
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Authorized official

Name
James L SchroderNPI 1215025051
Title
President
Phone
(423) 476-3278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X MD0000027058 TN Primary

Addresses

Primary practice location

3372 Keith St NW
Cleveland, TN 37312-3718

Mailing address

3372 Keith Street NW
P. O. Box 5991
Cleveland, TN 37320-5991
Phone (423) 476-3278

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1881950889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3372 KEITH STREET NW",
            "address_2": "P. O. BOX 5991",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373205991",
            "telephone_number": "423-476-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3372 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123718",
            "telephone_number": "423-476-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JALEX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "SCHRODER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-476-3278"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TN",
            "license": "MD0000027058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.