P David Jarry, M.D.,F.A.C.P.,M.B.A.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

38355 Issued in MA

Practice address

70 Harvest Cir
Holden, MA 01520-1498

Phone

(508) 829-9390

Fax

(508) 829-4638

NPI assigned

Nov 25, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reliant Medical Group, Inc

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1720017528

  Pulmonary Disease

  NPD (past)

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1144203993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 HARVEST CIR",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201498",
            "telephone_number": "508-829-9390",
            "fax_number": "508-829-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HARVEST CIR",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201498",
            "telephone_number": "508-829-9390",
            "fax_number": "508-829-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRY",
        "first_name": "P DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.C.P.,M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "38355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2073048",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carina Iati, PSYD
• Arielle Frances Iley, PA-C
• Inspired Minds Counseling, LLC
• J Dolak Chiropractic Inc
• Donald P Jackel, DO
• Rock H. Jean-Guillaume, D.O.
• John J. Giordano DMD LLC
• John P Gusha DMD PC
• Donald Clark Johnson, LADC-I
• Misha Johnson, MSW

• Pulmonary Disease Physician in Holden, MA
• Providers in Holden, MA by specialty
• Pulmonary Disease Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.