NPIMap

Organization Active NPI

Jose Mari G Jurado MD PC

  • Physical Medicine & Rehabilitation Physician
  • Saginaw, MI
National Provider Identifier
1669567392
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
J046814 Issued in MI
Legal business name
JOSE MARI G JURADO MD PC
Practice address
355 N Center Rd
Saginaw, MI 48638-5849
Phone
(989) 790-5773
Fax
(989) 790-0230
NPI assigned
Oct 4, 2006
Last updated
Feb 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Dr. Jose Mari Gojar Jurado, M.D.NPI 1265527964
Title
President
Phone
(989) 790-5773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X J046814 MI Primary

Addresses

Primary practice location

355 N Center Rd
Saginaw, MI 48638-5849

Mailing address

355 N Center Rd
Saginaw, MI 48638-5849
Phone (989) 790-5773

Other identifiers 6

IdentifierTypeStateIssuer
2507308622OtherMIHEALTH PLUS
1829894MedicaidMI
250730862OtherMIBLUE CROSS BLUE SHIELD
104026OtherMIGREAT LAKES
1001088OtherMIMCLAREN HEALTH PLAN
250730862OtherMIBLUE CARE NETWORK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1669567392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 N CENTER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385849",
            "telephone_number": "989-790-5773",
            "fax_number": "989-790-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N CENTER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385849",
            "telephone_number": "989-790-5773",
            "fax_number": "989-790-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE MARI G JURADO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "JURADO",
        "authorized_official_first_name": "JOSE MARI",
        "authorized_official_middle_name": "GOJAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-790-5773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "J046814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH  PLUS",
            "identifier": "2507308622",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1829894",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "250730862",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES",
            "identifier": "104026",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1001088",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "250730862",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.