Active NPI
Olan Jareunpoon, MD
- Surgery Physician
- Hamtramck, MI
National Provider Identifier
1922012897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 34342
- Practice address
- 9740 Conant St
Hamtramck, MI 48212-3307 - Phone
- (313) 556-9900
- Fax
- (313) 556-9911
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 34342 | MI | Primary |
Addresses
Primary practice location
9740 Conant St
Hamtramck, MI 48212-3307
Mailing address
2280 Red Maple Dr
Troy, MI 48098-2248
Phone (248) 879-5799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34342 | MI | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922012897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 RED MAPLE DR",
"city": "TROY",
"state": "MI",
"postal_code": "480982248",
"telephone_number": "248-879-5799",
"fax_number": "248-879-4854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9740 CONANT ST",
"city": "HAMTRAMCK",
"state": "MI",
"postal_code": "482123307",
"telephone_number": "313-556-9900",
"fax_number": "313-556-9911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAREUNPOON",
"first_name": "OLAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "34342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamtramck, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.