NPIMap

Organization Active NPI

Port Huron Internal Medicine

  • Family Health Clinical Nurse Specialist
  • Port Huron, MI
National Provider Identifier
1437609781
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
4704272224 Issued in MI
Legal business name
PORT HURON INTERNAL MEDICINE
Practice address
2540 16TH St
Port Huron, MI 48060-6405
Phone
(586) 634-0055
NPI assigned
Oct 11, 2016
Last updated
Oct 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Dr. John Jarad, M.D.NPI 1891424339
Title
Internal Medicine Physician
Phone
(810) 987-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 4704272224 MI Primary

Addresses

Primary practice location

2540 16TH St
Port Huron, MI 48060-6405

Mailing address

2540 16TH St
Port Huron, MI 48060-6405
Phone (586) 634-0055

National Provider Directory

National Provider Directory

Locations

2540 16th St
Port Huron, MI 48060
Phone (810) 987-1000

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1437609781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 16TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606405",
            "telephone_number": "586-634-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 16TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606405",
            "telephone_number": "586-634-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT HURON INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "JARAD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "INTERNAL MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "810-987-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "MI",
            "license": "4704272224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.