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AB JETMORE MD LLC
NPI 1114258886
Colon & Rectal Surgery in Lenexa, KS

Active since January 20, 2010
21106 W 95TH TER, LENEXA, KS 66220(913) 322-8859(888) 778-9471 Get Directions Write a Review

NPPES record last updated: December 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ab Jetmore Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AB JETMORE MD LLC (NPI 1114258886) is a healthcare organization registered as a colon & rectal surgery in Lenexa, Kansas and active in the NPI registry since January 2010. The organization lists Allen Bruce Jetmore, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1114258886
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NameAB JETMORE MD LLC
Location Address21106 W 95TH TERLenexa, KS 66220-5600
Mailing AddressPo Box 7673Overland Park, KS 66207-0673 · (913) 322-8859 · Fax (888) 778-9471
Phone(913) 322-8859
Fax(888) 778-9471
Organization SubpartNo
Authorized OfficialAllen Bruce JetmoreSole Member · (913) 829-7716
Enumeration DateJanuary 20, 2010
Last NPPES UpdateDecember 23, 2010
✔ NPI 1114258886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in KS · 04-24436
Definition
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.
21106 W 95TH TER, Lenexa, KS 66220
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Other Identifiers 3

Medicare PINKA1709KS
Other42525017MO · Blue Shield Kansas City
Other4221151KS · Aetna

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ab Jetmore MD LLC's NPI number?

The NPI number for Ab Jetmore MD LLC is 1114258886. It was assigned to this organization in the NPPES registry on January 20, 2010.

Where is Ab Jetmore MD LLC located?

Ab Jetmore MD LLC is located at 21106 W 95th Ter, Lenexa, KS 66220. The listed phone number is (913) 322-8859.

What is Ab Jetmore MD LLC's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

What insurance does Ab Jetmore MD LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Ab Jetmore MD LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ab Jetmore MD LLC was last updated on December 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.