Vidya S Jain MD PA

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

ME57658 Issued in FL

Legal business name

VIDYA S JAIN MD PA

Doing business as

jain hand surgery center

Practice address

800 Zeagler Dr Ste 100
Palatka, FL 32177-3827

Phone

(386) 325-7711

Fax

(386) 325-3020

NPI assigned

Jan 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Vidya S Jain, MD PANPI 1750360046

Title

Owner

Phone

(386) 325-7711

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• jain hand surgery center Doing business as

Locations

Practitioners 1

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

• Vidya Sagar Jain, MD

  • Surgery of the Hand (Surgery) Physician
  • Palatka, FL
  • NPI 1750360046
  NPD (past) Authorized official

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1922244417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ZEAGLER DR STE 100",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773827",
            "telephone_number": "386-325-7711",
            "fax_number": "386-325-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ZEAGLER DR STE 100",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773827",
            "telephone_number": "386-325-7711",
            "fax_number": "386-325-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDYA S JAIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "VIDYA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-325-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "ME57658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063376300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jain hand surgery center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katya Maria Tsangarakis, APRN
• Mary A. Turner, LPN
• Mischell Turner
• Susy Kunnody Varughese
• Indrajit Verma, PHYSICIAN ASSISTANT
• Vip Doctors Care of Palatka LLC
• Juliet M Wadsworth, RPH
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Kathryn Lynn Walburn, LMHC

• Orthopaedic Hand Surgery Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Orthopaedic Hand Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.