Active NPI
Rima Jibaly M.D. , P.C
- Clinic/Center
- Flint, MI
National Provider Identifier
1851454524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 4301069514
- Legal business name
- RIMA JIBALY M.D. , P.C
- Practice address
- 1123 Villa Linde CT
Suite 38
Flint, MI 48532-3410 - Phone
- (810) 733-7221
- Fax
- (810) 733-7280
- NPI assigned
- Dec 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rima Jibaly, M.D, B.S
- Title
- President
- Phone
- (810) 691-0171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 4301069514 | MI | Primary |
Addresses
Primary practice location
1123 Villa Linde CT
Suite 38
Flint, MI 48532-3410
Mailing address
1123 Villa Linde CT
Suite 38
Flint, MI 48532-3410
Phone (810) 733-7221
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262563200000",
"number": "1851454524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 VILLA LINDE CT",
"address_2": "SUITE 38",
"city": "FLINT",
"state": "MI",
"postal_code": "485323410",
"telephone_number": "810-733-7221",
"fax_number": "810-733-7280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 VILLA LINDE CT",
"address_2": "SUITE 38",
"city": "FLINT",
"state": "MI",
"postal_code": "485323410",
"telephone_number": "810-733-7221",
"fax_number": "810-733-7280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIMA JIBALY M.D. , P.C",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-17",
"last_updated": "2010-01-04",
"status": "A",
"authorized_official_last_name": "JIBALY",
"authorized_official_first_name": "RIMA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "810-691-0171",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D, B.S"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MI",
"license": "4301069514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.