Organization Active NPI

Jaydam Services, LLC

  • Adult Medicine Physician
  • Houston, TX
National Provider Identifier
1568760403
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
JAYDAM SERVICES, LLC
Practice address
6250 Westpark Dr
321
Houston, TX 77057-7322
Phone
(832) 723-2549
NPI assigned
Mar 1, 2011
Last updated
Mar 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Mrs. Yvonne D Doherty
Title
Administrator
Phone
(832) 723-2549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X NU Primary

Addresses

Primary practice location

6250 Westpark Dr
321
Houston, TX 77057-7322

Mailing address

6250 Westpark Dr
321
Houston, TX 77057-7322
Phone (832) 723-2549

National Provider Directory

National Provider Directory

Locations

6250 Westpark Dr
Ste 321
Houston, TX 77057
Phone (713) 787-0600

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1568760403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 WESTPARK DR",
            "address_2": "321",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577322",
            "telephone_number": "832-723-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 WESTPARK DR",
            "address_2": "321",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577322",
            "telephone_number": "832-723-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYDAM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-723-2549",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.