Individual provider Active NPI

Eduardo L Jaramillo, MD

  • Obstetrics & Gynecology Physician
  • Nederland, TX
National Provider Identifier
1477581205
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M4204 Issued in TX
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

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8J8026OtherTXMEDICARE ID
182280101MedicaidTX

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

LicenseStateTypeSpecialty
M4204TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: eduardojaramillo@wise.allscriptsdirect.net
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.