JACOB KRIEDERMANN D.O. NPI 1144614603

NPI Information

NPI: 1144614603
Provider Name: JACOB KRIEDERMANN, D.O.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 877 JEFFERSON AVE
MEMPHIS, TN
ZIP 38103
Phone: (901) 545-7100

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NPI Details

Jacob Kriedermann, D.O. is an emergency medicine in Memphis, TN with 10 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Jacob Kriedermann, D.O. NPI is 1144614603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2015

The provider's business location address is:

877 JEFFERSON AVE
MEMPHIS, TN
ZIP 38103-807
Phone: (901) 545-7100

The NPI 1144614603 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Emergency department visit for life threatening or functioning severity (HCPCS:99285)
Critical care, first 30-74 minutes (HCPCS:99291)
Emergency department visit for problem of high severity (HCPCS:99284)

The enumeration date for this NPI number is 3/23/2015 and was last updated on 8/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207P00000X	Emergency Medicine	T-2975	MISSISSIPPI	No
2	390200000X	Student in an Organized Health Care Education/Training Program			No
3	207P00000X	Emergency Medicine	3425	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01150325	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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