Active NPI
Eugene Jura, M.D.
- Pediatrics Physician
- Northampton, MA
National Provider Identifier
1043203110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 71482
- Practice address
- 30 Locust St
Northampton, MA 01060-2052 - Phone
- (413) 582-2792
- Fax
- (413) 582-4675
- NPI assigned
- Aug 24, 2005
- Last updated
- May 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 71482 | MA | Primary |
Addresses
Primary practice location
30 Locust St
Northampton, MA 01060-2052
Mailing address
21 Bunker Hill Rd
Shrewsbury, MA 01545-2220
Phone (508) 842-2884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110057037A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1043203110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 BUNKER HILL RD",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015452220",
"telephone_number": "508-842-2884",
"fax_number": "508-473-8695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 LOCUST ST",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602052",
"telephone_number": "413-582-2792",
"fax_number": "413-582-4675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURA",
"first_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "71482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110057037A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.