Jeffrey Ivan Ender, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

84437 Issued in GA

Practice address

6325 Hospital Pkwy
Duluth, GA 30097-5775

Phone

(404) 778-8311

NPI assigned

Jan 25, 2006

Last updated

Oct 26, 2021By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jender59104@direct.emory.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.

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• Baylor College of Medicine

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• Baylor College of Medicine

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• Dodd Hyer, M.D. LTD

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  • NPI 1477599330
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• Gephardt Anesthesia Specialists of Las Vegas PLLC

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• PBS Anesthesia LLC

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1740403658
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1982674651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6335 HOSPITAL PKWY",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300971549",
            "telephone_number": "404-778-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 HOSPITAL PKWY",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975775",
            "telephone_number": "404-778-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDER",
        "first_name": "JEFFREY",
        "middle_name": "IVAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2021-10-26",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "84437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100504134",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eminence Physical Therapy, LLC
• Emory Johns Creek Hospital
• Emory Medical Affiliates, Inc
• Emory Physical Therapy, LLC
• Ivy Ann Emsley
• Brittany Nicole English
• Suresh Enjeti, MD
• Christopher James Enright, D.C.
• Envision Optics LLC (My EyeLab)
• Envision Optics LLC (My EyeLab)

• Anesthesiology Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.