James J Enyeart MD Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

35042993 Issued in OH

Legal business name

JAMES J ENYEART MD INC

Practice address

121 E Liberty St
Girard, OH 44420-2649

Phone

(330) 545-8814

Fax

(330) 545-5008

NPI assigned

Apr 16, 2010

Last updated

Apr 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Joseph Enyeart, M.D.NPI 1811946536

Title

President

Phone

(330) 545-8814

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• James Joseph Enyeart, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Girard, OH
  • NPI 1811946536
  Authorized official Same address or phone

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1780900654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E LIBERTY ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202649",
            "telephone_number": "330-545-8814",
            "fax_number": "330-545-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E LIBERTY ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202649",
            "telephone_number": "330-545-8814",
            "fax_number": "330-545-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J ENYEART MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "ENYEART",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-545-8814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35042993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0451407",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Family Medicine) Physician in Girard, OH
• Providers in Girard, OH by specialty
• Geriatric Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.