Hajjar Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35067590H Issued in OH

Legal business name

HAJJAR MEDICAL GROUP, INC.

Doing business as

Northern Adams Medical Center

Practice address

17862 Sr 247
Seaman, OH 45679

Phone

(937) 386-3303

Fax

(937) 386-3167

NPI assigned

Jun 8, 2007

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. Trudy Renee Sanders

Title

Office Manager

Phone

(937) 386-3303

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NORTHERN ADAMS MEDICAL CENTER Doing business as

Tax ID family

Hajjar Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hajjar Medical Group, Inc.

  • Rural Health Clinic/Center
  • Seaman, OH
  • NPI 1033309463
  NPD tax ID

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861695603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17862 SR 247",
            "city": "SEAMAN",
            "state": "OH",
            "postal_code": "45679",
            "telephone_number": "937-386-3303",
            "fax_number": "937-386-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17862 SR 247",
            "city": "SEAMAN",
            "state": "OH",
            "postal_code": "45679",
            "telephone_number": "937-386-3303",
            "fax_number": "937-386-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAJJAR MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-386-3303",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35067590H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0997417",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHERN ADAMS MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fitzgerald Seaman Pharmacy
• Fitzgerald Seaman Pharmacy, Inc. (Fitzgeralds Seaman Pharmacy)
• Bradley M. Frey, DMD
• Taylor Grooms
• Hajjar Medical Group, Inc.
• Robin Michelle Havens, C.N.P.
• Healthsource of Ohio Inc (Healthsource Seaman Pharmacy)
• Healthsource of Ohio, Inc. (HealthSource: Seaman)
• Healthsource of Ohio, Inc. (HealthSource: Seaman)
• Kevin L Hilgenberg, PA-C

• Family Medicine Physician in Seaman, OH
• Providers in Seaman, OH by specialty
• Family Medicine Physician in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.