Jitendra K Baruah MD SC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

JITENDRA K BARUAH MD SC

Practice address

3201 S 16TH St
Suite 200
Milwaukee, WI 53215-4537

Phone

(414) 384-5581

Fax

(414) 384-5644

NPI assigned

May 15, 2007

Last updated

Sep 15, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jitendra K Baruah, MDNPI 1720143894

Title

Owner

Phone

(414) 384-5581

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jitendra Baruah, MD, S.C.

  • Neurology Physician
  • Milwaukee, WI
  • NPI 1720143894
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505433600000",
    "number": "1023224458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19175 STILL POINT TRL",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454808",
            "telephone_number": "414-384-5581",
            "fax_number": "414-384-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S 16TH ST",
            "address_2": "SUITE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154537",
            "telephone_number": "414-384-5581",
            "fax_number": "414-384-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JITENDRA K BARUAH MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2017-09-15",
        "status": "A",
        "authorized_official_last_name": "BARUAH",
        "authorized_official_first_name": "JITENDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-384-5581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30288000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryann Jimenez, RN
• Guan-Yuan Jin, LAC
• James Jin
• Takia K Jines, RN
• Jireh Way Family Group Home LLC
• Mustafa Jivajee, M.D.
• Sadaf Didi Jiwan, M.D.
• JJM Transit Co
• JKL Transportation Inc.
• JL Healthcare, LLC

• Neurology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Neurology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.