Active NPI
Eduardo L Jaramillo, MD
- Obstetrics & Gynecology Physician
- Nederland, TX
National Provider Identifier
1477581205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- M4204
- Practice address
- 2400 Highway 365
Suite 207
Nederland, TX 77627-6249 - Phone
- (409) 853-1882
- Fax
- (409) 722-0622
- NPI assigned
- Jun 29, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | M4204 | TX | Primary |
Addresses
Primary practice location
2400 Highway 365
Suite 207
Nederland, TX 77627-6249
Mailing address
2400 Highway 365
Suite 207
Nederland, TX 77627-6249
Phone (409) 853-1882
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8J8026 | Other | TX | MEDICARE ID |
| 182280101 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M4204 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Hospital Authority | Current | Accepting new patients | |
| The Medical Center of Southeast Texas LP | Past | Accepting new patients | |
| Eduardo L Jaramillo MD PA | Obstetrics & Gynecology | Past | Accepting new patients |
| Hsa Port Arthur, LLC | Past | Accepting new patients |
Interoperability endpoints
- eduardojaramillo@wise.allscriptsdirect.net
- sr@eduardojaramillo.direct.emds.com
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.
-
- Skilled Nursing Facility
- Decatur, TX
- NPI 1124076401
-
- Obstetrics & Gynecology Physician
- Nederland, TX
- NPI 1093048068
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Port Arthur, TX
- NPI 1194548073
-
- General Acute Care Hospital
- Port Arthur, TX
- NPI 1861467573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1477581205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 HIGHWAY 365",
"address_2": "SUITE 207",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "776276249",
"telephone_number": "409-853-1882",
"fax_number": "409-722-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 HIGHWAY 365",
"address_2": "SUITE 207",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "776276249",
"telephone_number": "409-853-1882",
"fax_number": "409-722-0622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARAMILLO",
"first_name": "EDUARDO",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "M4204",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "8J8026",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182280101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nederland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.