Jeanbanc Surgery Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301082854 Issued in MI

Legal business name

JEANBANC SURGERY INC

Practice address

3409 Ludington St
Suite 206
Escanaba, MI 49829-4212

Phone

(906) 789-1954

Fax

(906) 786-5562

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Guy V Jeanblanc, M.D.NPI 1053365148

Title

President

Phone

(906) 789-1954

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Guy V Jeanblanc, M.D.

  • Surgery Physician
  • Escanaba, MI
  • NPI 1053365148
  NPD (past) Authorized official

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1922037753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 LUDINGTON ST",
            "address_2": "SUITE 206",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498294212",
            "telephone_number": "906-789-1954",
            "fax_number": "906-786-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 LUDINGTON ST",
            "address_2": "SUITE 206",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498294212",
            "telephone_number": "906-789-1954",
            "fax_number": "906-786-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANBANC SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "JEANBLANC",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-789-1954",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301082854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE8529",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4886348",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Jackson
• Paul Jerold Jacobs, DDS
• James Plowe Inc.
• Mark Allen Janofski, FNP
• Marissa Jean Jauquet
• Guy V Jeanblanc, M.D.
• David Matthew Jetton, PA-C
• Holly Johnson
• Kim Johnson, D.O.
• Breanna Lynn Kadish

• Specialist in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.