Active NPI
B a R Medical Corporation
- Geriatric Medicine (Internal Medicine) Physician
- Jasper, FL
National Provider Identifier
1063704096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- ME100798
- Legal business name
- B A R MEDICAL CORPORATION
- Practice address
- 413 5TH Ave NW
Jasper, FL 32052-7801 - Phone
- (386) 792-2985
- Fax
- (386) 792-0833
- NPI assigned
- May 10, 2011
- Last updated
- Jun 20, 2022
- 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
- Anjana Rana, MD
- Title
- Owner
- Phone
- (386) 208-1200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | ME100798 | FL | Primary |
Addresses
Primary practice location
413 5TH Ave NW
Jasper, FL 32052-7801
Mailing address
609 5TH St SW Ste 5
Live Oak, FL 32064-2239
Phone (386) 208-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME100798 | Other | FL | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
609 5th St SW
Ste 5
Live Oak, FL 32064
Phone (386) 208-1200
Practitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Jasper, FL
- NPI 1114199171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655683200000",
"number": "1063704096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 5TH ST SW STE 5",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320642239",
"telephone_number": "386-208-1200",
"fax_number": "386-208-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 5TH AVE NW",
"city": "JASPER",
"state": "FL",
"postal_code": "320527801",
"telephone_number": "386-792-2985",
"fax_number": "386-792-0833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B A R MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-10",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A",
"authorized_official_last_name": "RANA",
"authorized_official_first_name": "ANJANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-208-1200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "FL",
"license": "ME100798",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME100798",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.