Active NPI
Henry Clifton Jao, MD
- Orthopaedic Surgery Physician
- Dover Foxcroft, ME
National Provider Identifier
1356448716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 220875
- Practice address
- 43 Dwelley Ave
Dover Foxcroft, ME 04426-1005 - Phone
- (208) 564-8300
- Fax
- (207) 564-8466
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 220875 | MA | Primary |
Addresses
Primary practice location
43 Dwelley Ave
Dover Foxcroft, ME 04426-1005
Mailing address
43 Dwelley Ave
Dover Foxcroft, ME 04426-1005
Phone (208) 564-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00458856 | Other | ME | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| Heywood Medical Group Inc. | Orthopaedic Surgery | Past | Accepting new patients |
| Brockton Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
-
- General Practice Physician
- Gardner, MA
- NPI 1699762286
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1356448716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 DWELLEY AVE",
"city": "DOVER FOXCROFT",
"state": "ME",
"postal_code": "044261005",
"telephone_number": "208-564-8300",
"fax_number": "207-564-8466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 DWELLEY AVE",
"city": "DOVER FOXCROFT",
"state": "ME",
"postal_code": "044261005",
"telephone_number": "208-564-8300",
"fax_number": "207-564-8466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAO",
"first_name": "HENRY",
"middle_name": "CLIFTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "220875",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00458856",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dover Foxcroft, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.