1306894035 NPI number — JASON E MARKLAND DO

Table of content: JASON E MARKLAND DO (NPI 1306894035)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306894035 NPI number — JASON E MARKLAND DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MARKLAND
Provider First Name:
JASON
Provider Middle Name:
E
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306894035
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/22/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2700 W NORFOLK AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORFOLK
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68701-4438
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-371-4880
Provider Business Mailing Address Fax Number:
402-644-7543

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2700 W NORFOLK AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORFOLK
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68701-4438
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-545-9530
Provider Business Practice Location Address Fax Number:
205-545-9529
Provider Enumeration Date:
05/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  3064 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: 3064 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 051532947 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 051532948 . This is a "BCBS PROVIDER NUMBER" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 914584200 . This is a "FLORIDA MEDICAID" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: C141 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: CH5239 . This is a "RR MEDICARE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 009913306 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 351890800 . This is a "DEPT OF LABOR" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 529905830 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 529910000 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 051532947 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51545878 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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