Organization Active NPI

W Reed Jaussi MD PC

  • Ophthalmology Physician
  • Logan, UT
National Provider Identifier
1992973671
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
49198431205 Issued in UT
Legal business name
W REED JAUSSI MD PC
Practice address
550 E 1400 N
Ste T
Logan, UT 84341-2406
Phone
(435) 752-0202
Fax
(435) 752-5475
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
W Reed Jaussi, MD
Title
President
Phone
(435) 752-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 49198431205 UT Primary

Addresses

Primary practice location

550 E 1400 N
Ste T
Logan, UT 84341-2406

Mailing address

550 E 1400 N
Ste T
Logan, UT 84341-2406
Phone (435) 752-0202

Other identifiers 1

IdentifierTypeStateIssuer
03201958OtherOWNERSDOB

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.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1992973671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E 1400 N",
            "address_2": "STE T",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412406",
            "telephone_number": "435-752-0202",
            "fax_number": "435-752-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E 1400 N",
            "address_2": "STE T",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412406",
            "telephone_number": "435-752-0202",
            "fax_number": "435-752-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W REED JAUSSI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "JAUSSI",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-752-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "49198431205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNERSDOB",
            "identifier": "03201958",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.