Jaya Sankaran, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

4301039073 Issued in MI

Practice address

200 Hemlock St
Tawas City, MI 48763-9237

Phone

(989) 362-3411

NPI assigned

Nov 23, 2005

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mymichigan Medical Center Standish

  • Family Medicine Physician
  • Standish, MI
  • NPI 1144779885
  NPD (past)
• Mymichigan Medical Center Tawas

  • Rural Health Clinic/Center
  • Tawas City, MI
  • NPI 1952399743
  NPD (past)

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1821071796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509",
            "telephone_number": "800-288-8325",
            "fax_number": "419-866-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEMLOCK ST",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639237",
            "telephone_number": "989-362-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANKARAN",
        "first_name": "JAYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301039073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Reynolds, PT
• Molly Reynolds, RPH
• Rite Aid
• Kristi Sue Root
• Kymberly Samotis, NP
• Surya Sankaran, M.D.
• Jennifer Savasky, RN
• Megan Cathleen Savasky, MSW
• Stacy Seyfried
• Devendra K Sharma, MD

• Anatomic Pathology & Clinical Pathology Physician in Tawas City, MI
• Providers in Tawas City, MI by specialty
• Anatomic Pathology & Clinical Pathology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.