John W Jaderlund, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G5207 Issued in TX

Practice address

2401 W Oak St Ste 102
Denton, TX 76201-2381

Phone

(940) 387-2241

Fax

(940) 380-1374

NPI assigned

Sep 20, 2005

Last updated

Oct 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jjaderlund18072@direct.texashealth.org

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.

• Urology Associates of North Texas LLP

  • Urology Physician
  • Weatherford, TX
  • NPI 1407849961
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1932195468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W OAK ST STE 102",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012381",
            "telephone_number": "940-387-2241",
            "fax_number": "940-380-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W OAK ST STE 102",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012381",
            "telephone_number": "940-387-2241",
            "fax_number": "940-380-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADERLUND",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "G5207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120308508",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120308501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120308506",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120308505",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120308503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120308507",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erik Jackson, L.AC
• Frederick Jackson
• Linda L. Jacobs, MSSW, LCSW
• Cynthia Deck Jacobson, MED., LPC
• Steven Eric Jacobson, LCSW
• Sharad Kumar Jain, MD
• Jamal Mubarak, M.D., PA (Texas Lung Associates)
• Afsheen Amyn Jamal, APRN, FNP-C
• James a Haley M.D. P.a. (James a Haley M.D.)
• Carl Randall James, RPH

• Urology Physician in Denton, TX
• Providers in Denton, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.