Active NPI
John Jerius, MD
- Surgery Physician
- Warren, MI
National Provider Identifier
1306848353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301080979
- Practice address
- 27150 Ryan Rd
Warren, MI 48092-5124 - Phone
- (586) 693-3821
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301080979 | MI | Primary |
Addresses
Primary practice location
27150 Ryan Rd
Warren, MI 48092-5124
Mailing address
PO Box 1048
Warren, MI 48090-1048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Memorial Hospital | Current | Accepting new patients | |
| Drew Surgical Services LLC | Surgery | Current | Accepting new patients |
| Delta Memorial Hospital | Current | Accepting new patients | |
| Northeast Surgical Associates, PC | Surgery | Past | Accepting new patients |
Locations
811 Highway 65 S
Dumas, AR 71639
Phone (870) 382-4303
778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411
778 Scogin Dr
Spc Llc
Monticello, AR 71655
Phone (870) 460-3515
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/deltamh-91f47cd8
Organizations & group practices 4
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.
-
- Surgery Physician
- Warren, MI
- NPI 1003980806
-
- Clinic/Center
- Dumas, AR
- NPI 1083439012
-
- Critical Access Hospital
- Dumas, AR
- NPI 1295767689
-
- Surgery Physician
- Monticello, AR
- NPI 1700287885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275350400000",
"number": "1306848353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1048",
"city": "WARREN",
"state": "MI",
"postal_code": "480901048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27150 RYAN RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480925124",
"telephone_number": "586-693-3821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERIUS",
"first_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2010-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301080979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.