Active NPI
Jenda Millan Arawiran, M.D.
- Neonatal-Perinatal Medicine Physician
- Amarillo, TX
National Provider Identifier
1528293511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- Q1079
- Practice address
- 1400 S Coulter St
Amarillo, TX 79106-1786 - Phone
- (806) 414-9800
- Fax
- (806) 354-5689
- NPI assigned
- May 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | Q1079 | TX | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | Q1079 | TX | Primary |
Addresses
Primary practice location
1400 S Coulter St
Amarillo, TX 79106-1786
Mailing address
1400 Wallace Blvd
Amarillo, TX 79106-1708
Phone (808) 414-9800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 336832601 | Medicaid | TX | |
| 86106732 | Medicaid | NM | |
| 336832602 | Medicaid | TX | |
| 200546740 A | Medicaid | OK |
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 |
|---|---|---|---|
| Q1079 | TX | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443657600000",
"number": "1528293511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 WALLACE BLVD",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061708",
"telephone_number": "808-414-9800",
"fax_number": "806-354-5689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S COULTER ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061786",
"telephone_number": "806-414-9800",
"fax_number": "806-354-5689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARAWIRAN",
"first_name": "JENDA",
"middle_name": "MILLAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-20",
"last_updated": "2015-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q1079",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "Q1079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "336832601",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "86106732",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "336832602",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200546740 A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.