Active NPI
Ameena R Jabir, M.D.
- Pediatric Adolescent Medicine Physician
- Marion Center, PA
National Provider Identifier
1639102379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MD060343L
- Practice address
- 100 Neale Avenue
Mahoning Medical Center
Marion Center, PA 15759 - Phone
- (724) 397-2326
- Fax
- (724) 397-2420
- NPI assigned
- Jul 8, 2006
- Last updated
- Jul 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | MD060343L | PA | Primary |
Addresses
Primary practice location
100 Neale Avenue
Mahoning Medical Center
Marion Center, PA 15759
Mailing address
100 Neale Avenue Route 403 South
PO Box 268
Marion Center, PA 15759
Phone (724) 397-2326
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250099 | Other | PA | UPMC HEALTH CARE |
| 620062 | Other | PA | BLUE SHIELD |
| 0016126710008 | Medicaid | PA | |
| 250099 | Other | PA | UPMC FOR YOU |
| 0016126710010 | Medicaid | PA | |
| P000084 | Other | PA | GATEWAY HEALTH PLAN |
| 88984 | Other | PA | UNISON HEALTH PLAN |
| G63564 | Other | PA | HEALTH ASSURANCE |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD060343L | PA | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Care Center P C | Past | Accepting new patients | |
| Indiana Regional Medical Center | Past | Accepting new patients | |
| Pediatric Care Center PC | Adolescent Medicine | Past | Accepting new patients |
Interoperability endpoints
- ajabir@pediatriccarecenter.medentdirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rural Acute Care Hospital
- Indiana, PA
- NPI 1356334510
-
- Rural Health Clinic/Center
- Indiana, PA
- NPI 1083587018
-
- Pediatric Adolescent Medicine Physician
- Marion Center, PA
- NPI 1972691103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1639102379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NEALE AVENUE ROUTE 403 SOUTH",
"address_2": "PO BOX 268",
"city": "MARION CENTER",
"state": "PA",
"postal_code": "15759",
"telephone_number": "724-397-2326",
"fax_number": "724-397-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NEALE AVENUE",
"address_2": "MAHONING MEDICAL CENTER",
"city": "MARION CENTER",
"state": "PA",
"postal_code": "15759",
"telephone_number": "724-397-2326",
"fax_number": "724-397-2420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABIR",
"first_name": "AMEENA",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "PA",
"license": "MD060343L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC HEALTH CARE",
"identifier": "250099",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "620062",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016126710008",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC FOR YOU",
"identifier": "250099",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016126710010",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "P000084",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON HEALTH PLAN",
"identifier": "88984",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ASSURANCE",
"identifier": "G63564",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion Center, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.