Fatima Jaffer MD SC PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01044403A Issued in IN

Legal business name

FATIMA JAFFER MD SC PC

Practice address

Physicians Pavilion Suite 101
24 East Joliet Street
Dyer, IN 46311

Phone

(219) 865-2141

Fax

(219) 864-2644

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fatima E Jaffer, M.D.

Title

President

Phone

(630) 789-3133

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Kay Plavsa, NP

  • Adult Health Nurse Practitioner
  • Munster, IN
  • NPI 1790732055
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508078239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5758",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601815308",
            "telephone_number": "630-789-3133",
            "fax_number": "630-789-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PHYSICIANS PAVILION SUITE 101",
            "address_2": "24 EAST JOLIET STREET",
            "city": "DYER",
            "state": "IN",
            "postal_code": "46311",
            "telephone_number": "219-865-2141",
            "fax_number": "219-864-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATIMA JAFFER MD SC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAFFER",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-789-3133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01044403A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000353010",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Empowerme Rehabilitation, LLC
• Lori R. Enevoldsen, D.C.
• Eyho Cardiology, LLC.
• Scott T Fairhurst, NP
• Kelly Ann Fairris, MA CCC SLP
• Maher Fattouh, MD
• Ashley Elizabeth Faucault, COTA
• Favor Healthcare Services, Inc.
• Favor Medical Supplies & Transportation Services Inc
• Katrina Fesko, O.D.

• Internal Medicine Physician in Dyer, IN
• Providers in Dyer, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.