JDS Medical Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35075041D Issued in OH

Legal business name

JDS MEDICAL INC

Practice address

1625 Airport Rd
New Lexington, OH 43764-9749

Phone

(740) 342-5158

Fax

(740) 342-6702

NPI assigned

Apr 29, 2010

Organization subpart

No

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

Authorized official

Name

Shelly L Dunmyer, MD

Title

Authorized Representative

Phone

(740) 454-1248

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

JDS Medical Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• JDC Medical Inc

  • Family Medicine Physician
  • New Lexington, OH
  • NPI 1073830535
  NPD tax ID
• JDS Meical Inc

  • Family Medicine Physician
  • New Lexington, OH
  • NPI 1396062428
  NPD tax ID

Locations

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1932426061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 AIRPORT RD",
            "address_2": "PO BOX 596",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437649749",
            "telephone_number": "740-342-5158",
            "fax_number": "740-342-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 AIRPORT RD",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437649749",
            "telephone_number": "740-342-5158",
            "fax_number": "740-342-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDS MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "DUNMYER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "740-454-1248",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35075041D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTN",
            "identifier": "363829",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Lea Howdyshell, R.PH.
• Amanda Humphrey, DENTAL HYGIENIST
• Makinzie Hutchinson, DENTAL ASST
• Dorothy Ann James, M.ED., LPCC-S
• JDC Medical Inc
• JDS Meical Inc
• Jeffrey J. Haggenjos, D.O., Inc
• Jeffrey J. Haggenjos, D.O., Inc
• Julie Ann Jenks, DMD
• Samantha L Jerles

• Family Medicine Physician in New Lexington, OH
• Providers in New Lexington, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.