Active NPI
Jay A Jamieson, MD
- Family Medicine Physician
- Keizer, OR
National Provider Identifier
1962449405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 13788
- Practice address
- 5100 River Rd N
Keizer, OR 97303-5371 - Phone
- (503) 393-2533
- Fax
- (503) 393-5978
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 13788 | OR | Primary |
Addresses
Primary practice location
5100 River Rd N
Keizer, OR 97303-5371
Mailing address
PO Box 20130
Keizer, OR 97307-0130
Phone (503) 393-2533
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 285825 | Medicaid | OR | |
| R157128 | Other | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13788 | OR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1962449405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20130",
"city": "KEIZER",
"state": "OR",
"postal_code": "973070130",
"telephone_number": "503-393-2533",
"fax_number": "503-393-5978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 RIVER RD N",
"city": "KEIZER",
"state": "OR",
"postal_code": "973035371",
"telephone_number": "503-393-2533",
"fax_number": "503-393-5978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMIESON",
"first_name": "JAY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "13788",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "285825",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "R157128",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Keizer, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.