Jaar Medical Group LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

JAAR MEDICAL GROUP LLC

Practice address

5895 Moses Family Rd
Troutville, VA 24175-5409

Phone

(540) 580-8076

NPI assigned

Jun 26, 2024

Last updated

Jun 26, 2024By 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

Anne Rodgers, PA-CNPI 1700243284

Title

Physician Assistant

Phone

(540) 580-8076

Specialties & licenses 1

Addresses

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.

• Anne Rodgers, PA-C

  • Physician Assistant
  • Roanoke, VA
  • NPI 1700243284
  NPD Authorized official

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1053156513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5895 MOSES FAMILY RD",
            "city": "TROUTVILLE",
            "state": "VA",
            "postal_code": "241755409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5895 MOSES FAMILY RD",
            "city": "TROUTVILLE",
            "state": "VA",
            "postal_code": "241755409",
            "telephone_number": "540-580-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAAR MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "540-580-8076",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Troutville, VA
• Providers in Troutville, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.