Organization Active NPI

Salim a Jaffer MD PC

  • Gastroenterology Physician
  • Lansing, MI
National Provider Identifier
1770028284
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301062463 Issued in MI
Legal business name
SALIM A JAFFER MD PC
Practice address
4136 Legacy Pkwy
Suite 100
Lansing, MI 48911-4265
Phone
(517) 999-5300
NPI assigned
Dec 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Salim Jaffer, M.D.
Title
Owner
Phone
(517) 999-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 4301062463 MI Primary

Addresses

Primary practice location

4136 Legacy Pkwy
Suite 100
Lansing, MI 48911-4265

Mailing address

4136 Legacy Pkwy
Suite 100
Lansing, MI 48911-4265
Phone (517) 999-5300

Other identifiers 1

IdentifierTypeStateIssuer
4301062463OtherMILICENSE

National Provider Directory

National Provider Directory

Locations

4136 Legacy Pkwy
Ste 100
Lansing, MI 48911
Phone (517) 708-2001

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1770028284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 LEGACY PKWY",
            "address_2": "SUITE 100",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114265",
            "telephone_number": "517-999-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4136 LEGACY PKWY",
            "address_2": "SUITE 100",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114265",
            "telephone_number": "517-999-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIM A JAFFER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "JAFFER",
        "authorized_official_first_name": "SALIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-999-5300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301062463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4301062463",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.