Eric Jaggers, MD, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

01045406A Issued in IN

Legal business name

ERIC JAGGERS, MD, LLC

Practice address

2700 Vissing Park Road
Jeffersonville, IN 47130

Phone

(812) 258-1029

NPI assigned

Oct 15, 2010

Last updated

Oct 15, 2010By 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

Dr. Eric Jaggers, M.D.NPI 1902954357

Title

Member

Phone

(812) 258-1029

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

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.

• Eric Jaggers, MD

  • Psychiatry Physician
  • Jeffersonville, IN
  • NPI 1902954357
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1861702524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 EAST 10TH ST",
            "address_2": "#365",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471307285",
            "telephone_number": "812-258-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 VISSING PARK ROAD",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "47130",
            "telephone_number": "812-258-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC JAGGERS, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "JAGGERS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "812-258-1029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01045406A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily J. Stapp MD
• Logan Emmitt
• Empicare, Inc.
• Engilman Orthodontics-Jeffersonville, LLC
• Nicholas Eric English, DMD
• Jalin Lavelle Ernest, RBT
• Rhonda L Eskridge, MA-CCC-SLP
• Avery Estes
• Ashley Evans, NP
• Jenna Evans, APRN

• Specialist in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.