JENNIFER MEDLIN (NPI# 1427491778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427491778 |
| Entity Type | Individual |
| Full Name | JENNIFER MEDLIN |
| Credential | MD |
| Practice Address |
8604 Giles Rd La Vista NE 68128-6051 |
| Mailing Address |
988102 Nebraska Medical Ctr Omaha NE 68198-8102 |
| Practice Telephone | 4025590000 |
| Practice Fax Number | 4025590001 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2018-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
30815 | NE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Uw Hospital and Clinics, 600 Highland Ave, H4/831, Madison, WI 537920001 | 6082635660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467615468 | Jennifer Matthews Medlin | Physical Therapist | 119 Bay St, Bamberg, SC 29003-1445 | 2008-07-09 |
| 1528471166 | Jennifer Medlin | Social Worker | 3141 Centennial Blvd, Colorado Springs, CO 80907-4094 | 2014-06-10 |
| Street Address |
8604 GILES RD |
| City | LA VISTA |
| State | NE |
| Zip Code | 68128-6051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003299827 | Jordan Tichenor | Internal Medicine | 8604 Giles Rd, La Vista, NE 68128 | 2015-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922589746 | Ruth Ann Moses | Prevention Professional | 7030 S 110th St, Omaha, NE 68128 | 2018-08-29 |
| 1972945897 | Jenna Leigh Graeve | Physical Therapist | 7040 S 114th St Plz Apt 203, La Vista, NE 68128 | 2013-07-19 |
| 1245564012 | Optum Infusion Services 302, LLC | Pharmacy | 8720 South 114th Street, Suite 106, La Vista, NE 68128 | 2009-09-28 |
| 1730385709 | Granville Assisted Living, LLC | Point of Service | 5807 Granville Parkway, La Vista, NE 68128 | 2007-06-26 |
| 1629160072 | Rachel L. Mccann | Pediatrics | 9801 Giles Road, Suite 1, La Vista, NE 68128 | 2006-09-29 |
| 1730118233 | Donald R Krysl | Optometrist | 8102 S 84th St, Lavista, NE 68128 | 2006-06-30 |
| 1073030607 | September Leigh Wanzenried | Family Medicine | 6901 S 84th St, La Vista, NE 68128 | 2017-08-24 |
| 1518312719 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 12515 Portside Pkwy, La Vista, NE 68128 | 2016-04-26 |
| 1245685445 | Costco Wholesale Corporation | Hearing Aid Equipment | 12515 Portside Pkwy, La Vista, NE 68128 | 2016-04-26 |
| 1386011971 | Kelsey Klatt | Occupational Therapist | 6960 S 110th St, La Vista, NE 68128 | 2015-08-31 |
| Find all providers in zip 68128 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417228453 | Abhijeet Shrikrishna Danve | Internal Medicine | 11322 Franklin Plz Apt 915, Omaha, NE 68154-4816 | 2012-01-23 |
| 1710276415 | Melanie Kay Rohr | Internal Medicine | 42 Nd and Emile St, 983025 Unmc, Omaha, NE 68198-0001 | 2011-04-04 |
| 1871793158 | Kearney Arthritis Institute PC | Internal Medicine | 22 W 56th St Ste 107, Kearney, NE 68847-0508 | 2007-07-24 |
| 1174737597 | Rheumatology & Osteoporosis Services, P.C. | Internal Medicine | 1520 S 70th St Ste 200, Lincoln, NE 68506-1566 | 2007-05-09 |
| 1972602126 | The Center for Health LLC | Internal Medicine | 302 S.jeffers St., North Platte, NE 69101 | 2006-09-22 |
| 1093823437 | Jennifer Rae Elliott | Internal Medicine | 1520 South 70th Street, Suite 200, Lincoln, NE 68506-1566 | 2006-08-27 |
| 1962517060 | Deborah Doud | Internal Medicine | 2727 S 144th St Ste 240, Omaha, NE 68144-5201 | 2006-08-20 |
| 1760433312 | Vernon Ford Garwood | Internal Medicine | 1520 S 70th St, Suite 200, Lincoln, NE 68506-1566 | 2006-05-16 |
| 1386614907 | Alan Jay Jacobs | Internal Medicine | 3901 Pine Lake Rd, Suite 120, Lincoln, NE 68516-5497 | 2006-01-25 |
| 1568466811 | Loretta L. Baca | Internal Medicine | 302 S Jeffers St, North Platte, NE 69101-5349 | 2005-06-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.