NPIMap

Organization Active NPI

Jagneswar Saha DO PC

  • Health Service Clinic/Center
  • Highland Park, MI
National Provider Identifier
1871638890
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
5101006682 Issued in MI
Legal business name
JAGNESWAR SAHA DO PC
Practice address
211 Glendale St Ste 200
Highland Park, MI 48203-3231
Phone
(313) 865-2020
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jagneswar Saha, D.O PHD
Title
Director
Phone
(313) 865-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 5101006682 MI Primary

Addresses

Primary practice location

211 Glendale St Ste 200
Highland Park, MI 48203-3231

Mailing address

211 Glendale St Ste 200
Highland Park, MI 48203-3231

Other identifiers 1

IdentifierTypeStateIssuer
4197263MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Jagneswar Saha DO PC2 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.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871638890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 GLENDALE ST STE 200",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 GLENDALE ST STE 200",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033231",
            "telephone_number": "313-865-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGNESWAR SAHA DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAHA",
        "authorized_official_first_name": "JAGNESWAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-865-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O PHD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MI",
            "license": "5101006682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4197263",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, MI

Sources for this page

  • 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.