Organization Active NPI

Rima Jibaly M.D. , P.C

  • Clinic/Center
  • Flint, MI
National Provider Identifier
1851454524
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4301069514 Issued in MI
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

Updated by the provider on Jan 4, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.