AB JETMORE MD LLC – NPI #1114258886
Colon & Rectal Surgery

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

AB JETMORE MD LLC is a colon & rectal surgeon located in LENEXA, KS. NPPES has assigned the NPI number 1114258886 to AB JETMORE MD LLC on January 20, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208C00000X from the Health Care Provider Taxonomy code set, which is classified as Colon & Rectal Surgery.

The NPI profile was previously updated about 15 years ago on Dec 23, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AB JETMORE MD LLC below.

NPI Profile for
AB JETMORE MD LLC

NPI Number
1114258886
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AB JETMORE MD LLC
Primary location
21106 W 95TH TER
LENEXA, KS 66220-5600
Phone: (913) 322-8859 Fax: (888) 778-9471
Mailing address
PO BOX 7673
OVERLAND PARK, KS 66207-0673
Phone: (913) 322-8859 Fax: (888) 778-9471
Organization Subpart
No
Authorized Official
ALLEN JETMORE
SOLE MEMBER
Phone: (913) 829-7716
Updated
Identifiers

Identifiers for AB JETMORE MD LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAETNAKS4221151
OTHERBLUE SHIELD KANSAS CITYMO42525017
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208C00000X
- Colon & Rectal Surgery (Primary)
KS 04-24436

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.