Jason J Caron MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

47180 Issued in MN

Legal business name

JASON J CARON MD PA

Practice address

3807 Greenleaf Ave NW
Bemidji, MN 56601-5817

Phone

(218) 751-9746

Fax

(218) 759-0620

NPI assigned

May 15, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rita K Drews

Title

Claims MGR

Phone

(218) 751-9746

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1093982399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 GREENLEAF AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015817",
            "telephone_number": "218-751-9746",
            "fax_number": "218-759-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 GREENLEAF AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015817",
            "telephone_number": "218-751-9746",
            "fax_number": "218-759-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON J CARON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "DREWS",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLAIMS MGR",
        "authorized_official_telephone_number": "218-751-9746"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "47180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.