Jared D Abrams, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5315 Adams Ave Pkwy
Suite a
Washington Terrace, UT 84405-4766

Phone

(801) 476-4448

Fax

(801) 476-4449

NPI assigned

Jun 21, 2012

Last updated

Sep 30, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Not Tsoo Gah Nee Indian Health

  • Health Service Clinic/Center
  • Fort Hall, ID
  • NPI 1558441139

  TX

  Medicare reassignment
• Pacific County Hospital District 2

  dba Willapa Medical Clinic

  • Rural Health Clinic/Center
  • South Bend, WA
  • NPI 1760582522
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1679836951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 ADAMS AVE PKWY",
            "address_2": "SUITE A",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844054766",
            "telephone_number": "801-476-4448",
            "fax_number": "801-476-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 ADAMS AVE PKWY",
            "address_2": "SUITE A",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844054766",
            "telephone_number": "801-476-4448",
            "fax_number": "801-476-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMS",
        "first_name": "JARED",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adjust Your Life - Chiropractic
• Ambulatory Surgery Center of Utah, LLC (Ambulatory Surgery Center of Utah)
• Arterial and Cardiothoracic Surgery Consultants
• ASC of Utah Surgicenter, LLC (Ambulatory Surgery Center of Utah)
• Mia Kristiana Barker, TRT

• Physician Assistant in Washington Terrace, UT
• Providers in Washington Terrace, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.