Organization Active NPI

Jain Syed MD PC

  • Psychiatry Physician
  • Bay City, MI
National Provider Identifier
1104134378
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JAIN SYED MD PC
Practice address
714 S Trumbull St
Bay City, MI 48708-4217
Phone
(989) 892-6333
Fax
(989) 892-6411
NPI assigned
Sep 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Dr. Jainullabdin Syed, M.D.NPI 1285681395
Title
Owner
Phone
(989) 892-6333

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

714 S Trumbull St
Bay City, MI 48708-4217

Mailing address

714 S Trumbull St
Bay City, MI 48708-4217
Phone (989) 892-6333

Other names 1

  • JAIN SYED MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101027000550 MI Part B Supplier - Clinic/Group Practice 1254525900 Receives reassigned benefits from 1 practitioner
Practice locations: Bay City, MI

National Provider Directory

National Provider Directory

Locations

2110 16th St
Ste 1
Bay City, MI 48708
Phone (989) 892-2517

714 S Trumbull St
Bay City, MI 48708
Phone (989) 893-5541

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1104134378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 S TRUMBULL ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487084217",
            "telephone_number": "989-892-6333",
            "fax_number": "989-892-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S TRUMBULL ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487084217",
            "telephone_number": "989-892-6333",
            "fax_number": "989-892-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIN SYED MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "JAINULLABDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-892-6333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAIN SYED MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.

Verify at the official NPI Registry.