Organization Active NPI

M.a. Jan, M.D., Inc

  • Cardiovascular Disease Physician
  • London, OH
National Provider Identifier
1295942803
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35035556 Issued in OH
Legal business name
M.A. JAN, M.D., INC
Practice address
214 Elm St
London, OH 43140-2131
Phone
(740) 852-4100
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. Mohammad A Jan, M.D.
Title
Owner
Phone
(937) 275-2468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 35035556 OH Primary

Addresses

Primary practice location

214 Elm St
London, OH 43140-2131

Mailing address

214 Elm St
London, OH 43140-2131
Phone (740) 852-4100

National Provider Directory

National Provider Directory

Locations

1180 E Home Rd
Ste P
Springfield, OH 45503

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1295942803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ELM ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431402131",
            "telephone_number": "740-852-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 ELM ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431402131",
            "telephone_number": "740-852-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.A. JAN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "JAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-275-2468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35035556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.