Provider Demographics
NPI:1447457866
Name:JEMPSA, JAMES CHARLES (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CHARLES
Last Name:JEMPSA
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2245 SPRINGDALE CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-3201
Mailing Address - Country:US
Mailing Address - Phone:775-787-3246
Mailing Address - Fax:775-787-6430
Practice Address - Street 1:6580 S VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-1117
Practice Address - Country:US
Practice Address - Phone:775-853-9959
Practice Address - Fax:775-853-7760
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NV783207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G36679Medicare UPIN