DAVID LOUIS JETMORE MD, NPI 1215939467
Otolaryngology in RICHMOND, IN
Last Updated on : May 14,2021
About DAVID LOUIS JETMORE (NPI 1215939467)
DAVID LOUIS JETMORE is an Otolaryngology provider in RICHMOND, United States. His medical specialization is Otolaryngology .
1215939467 is NPI number of DAVID LOUIS JETMORE.
DAVID LOUIS JETMORE's primary taxonomy code based on NPI Lookup is 207Y00000X with license number 01023140A. This taxonomy code refers to Otolaryngology.
DAVID LOUIS JETMORE has more than 17 years of experience.
DAVID LOUIS JETMORE current practice location address is 1434 CHESTER BLVD., RICHMOND, IN. DAVID LOUIS JETMORE can be reached out via phone at 765-966-1600 and via fax at 765-962-9641 .
You can also correspond with DAVID LOUIS JETMORE through mail at mailing address 1100 REID PKWY, RICHMOND, IN, United States. Mailing address contact number is 765-983-3127.
The enumeration date of DAVID LOUIS JETMORE is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 2 years ago.1215939467 NPI Information
Basic NPI information of DAVID LOUIS JETMORE (NPI 1215939467) is provided below.
| Name | DAVID LOUIS JETMORE |
|---|---|
| National Provider Id (NPI) | 1215939467 |
| Entity Type | Individual |
| Gender | M |
| Credential | MD |
| Practice Address | 1434 CHESTER BLVD.,
RICHMOND, IN, United States |
| Practice Telephone | 765-966-1600 |
| Practice Fax Number | 765-962-9641 |
| Mailing Address | 1100 REID PKWY ,
MEDICAL STAFF SERVICES
RICHMOND, IN, United States |
| Mailing Telephone | 765-983-3127 |
| Mailing Fax Number | 765-983-3219 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 14-May-2021 |
DAVID LOUIS JETMORE (NPI 1215939467) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 01023140A | IN |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
DAVID LOUIS JETMORE (NPI 1215939467) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 174400000X | Specialist | 01023140A | IN |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000000841132 | Other (non-Medicare) (01) | IN | Anthem |
| 0544192 | MEDICAID (05) | OH | |
| 100256310 | MEDICAID (05) | IN |
DAVID LOUIS JETMORE (NPI 1215939467) Office Location
Office location of DAVID LOUIS JETMORE is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
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|---|---|---|---|---|
| 1144252537 | 03 INVESTMENTS, INC | Durable Medical Equipment & Medical Supplies, Customized Equipment | 2502 WACO ST,
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07-Jul-2006 |
| 1952755597 | 180 DEGREE SUPPORT SERVICES LLC | 4914 RADFORD AVENUE SUITE 308-A,
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20-Apr-2016 | |
| 1104377530 | 1ST ADVANCED PEDIATRIC &ADULT HEALTHCARE SERVICES LLC | Home Health | 1518 WILLOW LAWN DR,
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20-Oct-2016 |
| 1487308763 | 1ST AID ABA THERAPY LLC | Behavior Analyst | 21131 MEADOW ASH CT,
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07-Feb-2022 |
| 1538696661 | 1ST CLASS MEDICAL TRANSPORT LLC | Non-emergency Medical Transport (VAN) | 8014 MIDLOTHIAN TURNPIKE,
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19-May-2017 |
| 1871912816 | 1ST HEALTH SERVICES INC | In Home Supportive Care | PO BOX 158,
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07-Apr-2014 |
| 1962737312 | 1ST QUALITY CAREGIVERS | Nursing Care | 7818 TALLADEGA SPRINGS LN,
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02-Oct-2009 |
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22-Aug-2017 |
| 1477908390 | 21C SPEECH- LANGUAGE TELEPRACTICE | Speech-Language Pathologist, | 543 GENERAL CRUFT DR,
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28-Apr-2016 |
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02-Oct-2019 |
| 1427376268 | 2234 WELLNESS CLINIC, LLC | Clinic/Center | PO BOX 299,
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04-May-2010 |
| 1164187399 | 24 HOUR HOSPICE, INC. | Hospice Care, Community Based | 23303 PARKWAY LAKES LN,
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02-Nov-2021 |
| 1750564126 | 24/7 NURSE CARE HOME HEALTH SERVICES, INC. | Home Health | 5918 BLACKBERRY COVE LN,
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08-Dec-2007 |
| 1346882628 | 247 MOBILE X-RAY SERVICES LLC | Radiologic Technologist | 10407 SHANLEY LANDING CT,
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08-Oct-2019 |
| 1700831104 | 2D DIAGNOSTIC OF VIRGINIA, INC | Specialist | 103 JERICHO TPKE,
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23-May-2006 |
| 1861729220 | 3202 ROSEDALE PROPERTIES LLC | In Home Supportive Care | PO BOX 11593,
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05-Nov-2009 |
| 1679156699 | 3D PROSTHETICS, LLC | Prosthetist | 2011 CHESTER BLVD,
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29-Apr-2021 |
| 1932854296 | 3K CARE | Home Health | 3021 CHAMBERLAYNE AVE APT 1,
RICHMOND, VA, United States |
15-Feb-2022 |
| 1972804375 | 4 HIS MAJESTY BEAUTY SUPPLY | Durable Medical Equipment & Medical Supplies, Customized Equipment | 2230 HILLTOP MALL RD,
RICHMOND, CA, United States |
16-Nov-2010 |
| 1487438222 | 4FD AUTO & LOGISTIC SERVICES, LLC | Non-emergency Medical Transport (VAN) | 9510 GREEN MAPLE CT,
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22-Aug-2023 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1215939467?1215939467 is the NPI number of DAVID LOUIS JETMORE.
What is the specialty for DAVID LOUIS JETMORE?The Specialty of DAVID LOUIS JETMORE is Otolaryngology.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|