Hajjar Medical Group, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

35067590H Issued in OH

Legal business name

HAJJAR MEDICAL GROUP, INC.

Practice address

17862 St RT 247
Seaman, OH 45679

Phone

(937) 386-3303

Fax

(937) 386-3167

NPI assigned

Aug 1, 2007

Last updated

May 27, 2008By 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

Martin M Hajjar, MD

Title

Physician

Phone

(937) 386-3303

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Hajjar Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hajjar Medical Group, Inc.

  dba Northern Adams Medical Center

  • Family Medicine Physician
  • Seaman, OH
  • NPI 1861695603
  NPD tax ID

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1033309463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17862 ST RT 247",
            "city": "SEAMAN",
            "state": "OH",
            "postal_code": "45679",
            "telephone_number": "937-386-3303",
            "fax_number": "937-386-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17862 ST RT 247",
            "city": "SEAMAN",
            "state": "OH",
            "postal_code": "45679",
            "telephone_number": "937-386-3303",
            "fax_number": "937-386-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAJJAR MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "HAJJAR",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "937-386-3303",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OH",
            "license": "35067590H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2235496",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emergency Professional Services, Inc. (Emergency Professional Services of Ohio, Inc.)
• Fitzgerald Seaman Pharmacy
• Fitzgerald Seaman Pharmacy, Inc. (Fitzgeralds Seaman Pharmacy)
• Bradley M. Frey, DMD
• Taylor Grooms
• Hajjar Medical Group, Inc. (Northern Adams Medical Center)
• Robin Michelle Havens, C.N.P.
• Healthsource of Ohio Inc (Healthsource Seaman Pharmacy)
• Healthsource of Ohio, Inc. (HealthSource: Seaman)
• Healthsource of Ohio, Inc. (HealthSource: Seaman)

• Rural Health Clinic/Center in Seaman, OH
• Providers in Seaman, OH by specialty
• Rural Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.