Jackson Cardiology & Associates

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

JACKSON CARDIOLOGY & ASSOCIATES

Practice address

205 Page Ave
Jackson, MI 49201

Phone

(517) 787-3577

Fax

(517) 787-4280

NPI assigned

Aug 9, 2006

Last updated

Aug 22, 2020By 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

Ms. Dawn R Noble

Title

Credentialing/Billing

Phone

(517) 787-3577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

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.

• Tareq Baghal, MD

  • Cardiovascular Disease Physician
  • Jackson, MI
  • NPI 1255332490
  Medicare reassignment NPD
• Bischan Hassunizadeh, MD

  • Cardiovascular Disease Physician
  • Jackson, MI
  • NPI 1891705745
  Medicare reassignment NPD
• Rajendra H Mehta, MD

  • Cardiovascular Disease Physician
  • Jackson, MI
  • NPI 1770549099
  Medicare reassignment NPD
• Hussein Othman, M.D

  • Cardiovascular Disease Physician
  • Jackson, MI
  • NPI 1306089040
  Medicare reassignment NPD
• Jashu Patel, MD

  • Cardiovascular Disease Physician
  • Jackson, MI
  • NPI 1366408692
  Medicare reassignment NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841200722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PAGE AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49201",
            "telephone_number": "517-787-3577",
            "fax_number": "517-787-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PAGE AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49201",
            "telephone_number": "517-787-3577",
            "fax_number": "517-787-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON CARDIOLOGY & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING/BILLING",
        "authorized_official_telephone_number": "517-787-3577",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Lynn Iseler, MA, LLPC
• Robert N Israel, M.D.
• Aaron James Iuppa, MD
• John Charles Jackman
• Jackson Behavioral Services
• Jackson Cardiology Consultants PLLC
• Jackson Counseling for Wellbeing
• Jackson County (Jackson County Health Department)
• Jackson County
• Jackson County (Jackson County Health Department)

• Cardiovascular Disease Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.