Jean Jaoude, MD

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

277090 Issued in MA

Practice address

30 Capital Drive
West Springfield, MA 01089-1359

Phone

(413) 794-6411

Fax

(413) 794-6685

NPI assigned

Sep 15, 2006

Last updated

Jan 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jean E Abdallah Abou Jaoude Former name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jean.jaoude.p1@direct.fallonhealth.nextgenshare.com

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

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• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
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  • NPI 1265402390

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1316043565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT STREET",
            "address_2": "2ND FL",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CAPITAL DRIVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891359",
            "telephone_number": "413-794-6411",
            "fax_number": "413-794-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAOUDE",
        "first_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-36734",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "IA",
            "license": "MD-36734",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MA",
            "license": "277090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "ABDALLAH ABOU JAOUDE",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Alida Iwans
• J & L Medical Services, LLC
• Cris Martin Pacis Jacoba, MD
• Theresa James, LICSW
• Janice Yanni, DDS, PC
• Miranda Jasienowski, PT
• Hillary Jellison
• Renata Lepecki Jenco, M.A.
• Zachariah E Jenkins
• Lucille M. Jerome, MSW, LICSW

• Hospice and Palliative Medicine (Family Medicine) Physician in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.