R Charles Medlar, MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

36871 Issued in MI

Legal business name

R CHARLES MEDLAR, MD PC

Practice address

150 S East Ave
Jackson, MI 49201-2412

Phone

(517) 787-3902

Fax

(517) 787-8335

NPI assigned

Apr 29, 2008

Last updated

Jan 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Charles MedlarNPI 1770566358

Title

President

Phone

(517) 787-4470

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Robert Charles Medlar, M.D.

  • Orthopaedic Surgery Physician
  • Jackson, MI
  • NPI 1770566358
  Authorized official Same address or phone

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1194990275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492040600",
            "telephone_number": "517-787-3902",
            "fax_number": "517-787-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S EAST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012412",
            "telephone_number": "517-787-3902",
            "fax_number": "517-787-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R CHARLES MEDLAR, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "MEDLAR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-787-4470",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "36871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "0380001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1327328",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanine Quetant Jr.
• Ferron Diane Quiggle
• Linda S Quigley, CRNA
• Muhammad Ahmad Qureshi, M.D.
• R C Brillantes M D P L L C
• R M Beredo M D P L L C
• Sandra Kay Raby, GNP-BC
• Sara Jeanne Rademacher, DPT
• Jazmyn Ragland
• Rai Care Centers of Michigan I, LLC

• Orthopaedic Surgery Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Orthopaedic Surgery Physician in Michigan

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