Justin Issam Jwad, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010442 Issued in MI

Practice address

5378 W Doherty St
West Bloomfield, MI 48323-2708

Phone

(248) 885-1581

NPI assigned

Jun 1, 2016

Last updated

Jun 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 MI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialty Medical Center IncGroup PAC ID 8820469380, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Specialty Medical Center Inc

  dba Specialty Regeneratives

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Dearborn, MI
  • NPI 1285341537
  Medicare reassignment Care Compare group NPD
• Jawad a Shah, MD PC

  • Specialist
  • Flint, MI
  • NPI 1942402391
  Medicare reassignment NPD
• Physiatry and Rehabilitation Associates LLC

  dba Columbia Clinic

  • Physical Medicine & Rehabilitation Physician
  • Columbia, SC
  • NPI 1972777001

  MI

  Medicare reassignment NPD
• Jwad Chiropractic PLLC

  • Chiropractor
  • West Bloomfield, MI
  • NPI 1043752629
  Authorized official Same address or phone
• Jawad a Shah MD PC

  • Durable Medical Equipment & Medical Supplies
  • Dearborn, MI
  • NPI 1114667763
  NPD
• Specialty Medical Center Inc

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1366126559
  NPD (past)

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1770931545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5378 W DOHERTY ST",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232708",
            "telephone_number": "248-885-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5378 W DOHERTY ST",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232708",
            "telephone_number": "248-885-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JWAD",
        "first_name": "JUSTIN",
        "middle_name": "ISSAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Thurswell, PSYD, PLLC
• Julio M. Sosa MD PC
• Walter Edward Jurewicz, MSW
• Just Right Transportation, LLC
• Jwad Chiropractic PLLC
• Mary Kachocha, OTR/L
• Kacinpoint
• Jyothi A. Kadambi, MD
• Jessica Ann Kado, M.D.
• Talib Kafaji, LP

• Chiropractor in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.