Active NPI
Loyal W Jodar MD PC
- Orthopaedic Surgery Physician
- Petoskey, MI
National Provider Identifier
1053543736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4301020500
- Legal business name
- LOYAL W JODAR MD PC
- Practice address
- 4048 Cedar Bluff Dr
Ste 1
Petoskey, MI 49770-8895 - Phone
- (231) 347-5155
- NPI assigned
- Aug 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Loyal W Jodar, MD
- Title
- President
- Phone
- (231) 347-5155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4301020500 | MI | Primary |
Addresses
Primary practice location
4048 Cedar Bluff Dr
Ste 1
Petoskey, MI 49770-8895
Mailing address
PO Box 430
Petoskey, MI 49770-0430
Phone (231) 347-5155
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250208000000",
"number": "1053543736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 430",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497700430",
"telephone_number": "231-347-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4048 CEDAR BLUFF DR",
"address_2": "STE 1",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497708895",
"telephone_number": "231-347-5155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOYAL W JODAR MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-14",
"last_updated": "2009-08-14",
"status": "A",
"authorized_official_last_name": "JODAR",
"authorized_official_first_name": "LOYAL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "231-347-5155",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "4301020500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.