Organization Active NPI

JSK Professional Physician Services, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Covington, LA
National Provider Identifier
1912935578
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
Legal business name
JSK PROFESSIONAL PHYSICIAN SERVICES, LLC
Practice address
16300 Highway 1085
Covington, LA 70433-7227
Phone
(985) 871-6088
NPI assigned
Jun 30, 2006
Last updated
Oct 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
John Kessels, MDNPI 1982763074
Title
Director
Phone
(985) 871-6088

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
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X NU Primary

Addresses

Primary practice location

16300 Highway 1085
Covington, LA 70433-7227

Mailing address

PO Box 54528
New Orleans, LA 70154-4528
Phone (985) 845-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050601000282 LA Part B Supplier - Clinic/Group Practice 1557303450 Receives reassigned benefits from 1 practitioner
Practice locations: Covington, LA

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1912935578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54528",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701544528",
            "telephone_number": "985-845-9000",
            "fax_number": "985-845-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 HIGHWAY 1085",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337227",
            "telephone_number": "985-871-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSK PROFESSIONAL PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "KESSELS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "985-871-6088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.