Carol C. Jagdeo, MD. L.L.C

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD14312 Issued in DC

Legal business name

CAROL C. JAGDEO, MD. L.L.C

Practice address

106 Irving St NW
Suite 406 South
Washington, DC 20010-2927

Phone

(202) 877-0510

Fax

(202) 877-9088

NPI assigned

Aug 1, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Carol Christine Jagdeo, MD

Title

Owner/Medical Director

Phone

(202) 877-0532

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3901/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1356759484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 IRVING STREET NW",
            "address_2": "SUITE 406 SOUTH",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "202-877-0510",
            "fax_number": "202-877-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "address_2": "SUITE 406 SOUTH",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "202-877-0510",
            "fax_number": "202-877-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL C. JAGDEO, MD. L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "JAGDEO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "202-877-0532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "DC",
            "license": "MD14312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Elizabeth Carney, OTS
• Shari Lynn Carney
• Ryan Louis Carnota
• Ana Genoveva Caro Ruiz
• Carol a Blake, DDS, PLLC
• Carol E. Altstatt, Lcswc
• Carol P. Hausman, PH.D. PC
• Caroline Berman DMD PA
• Antonelle D Caroline
• Barbara Caroline

• Primary Care Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Primary Care Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.