Organization Active NPI

JSP Lap, LLC

  • Obstetrics & Gynecology Physician
  • Decatur, IL
National Provider Identifier
1912545013
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JSP LAP, LLC
Practice address
1192 E Pershing Rd
Decatur, IL 62526-4753
Phone
(217) 615-1144
Fax
(217) 615-1104
NPI assigned
Dec 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
Jeffrey Pfeiffer, MD
Title
Owner
Phone
(217) 520-6546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1192 E Pershing Rd
Decatur, IL 62526-4753

Mailing address

1192 E Pershing Rd
Decatur, IL 62526-4753
Phone (217) 615-1144

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1912545013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 E PERSHING RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264753",
            "telephone_number": "217-615-1144",
            "fax_number": "217-615-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 E PERSHING RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264753",
            "telephone_number": "217-615-1144",
            "fax_number": "217-615-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSP LAP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "PFEIFFER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-520-6546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.