Organization Active NPI

Jeffry L Kashuk MD PLLC

  • Vascular Surgery Physician
  • Saginaw, MI
National Provider Identifier
1285905414
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
4301088604 Issued in MI
Legal business name
JEFFRY L KASHUK MD PLLC
Practice address
4848 McLeod Dr E
Saginaw, MI 48604-2839
Phone
(989) 793-6200
Fax
(989) 793-9997
NPI assigned
Jan 19, 2012
Last updated
Jan 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Jeffry Lee Kashuk, M.D.
Title
Physician
Phone
(989) 793-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 4301088604 MI Primary

Addresses

Primary practice location

4848 McLeod Dr E
Saginaw, MI 48604-2839

Mailing address

4848 McLeod Dr E
Saginaw, MI 48604-2839
Phone (989) 793-6200

National Provider Directory

National Provider Directory

Locations

3037 Davenport Ave
Saginaw, MI 48602
Phone (989) 399-9233

920 N Niagara St
Saginaw, MI 48602
Phone (989) 921-2170

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1285905414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 MCLEOD DR E",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042839",
            "telephone_number": "989-793-6200",
            "fax_number": "989-793-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 MCLEOD DR E",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042839",
            "telephone_number": "989-793-6200",
            "fax_number": "989-793-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFRY L KASHUK MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "KASHUK",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "989-793-6200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "4301088604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.