Julio E.Pajaro, MD, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

035303 Issued in GA

Legal business name

JULIO E.PAJARO, MD, PC

Practice address

1763 Hwy 196 W
E.G. Miles Pkwy
Hinesville, GA 31313-8013

Phone

(912) 876-2298

Fax

(912) 876-2299

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Julio E. Pajaro Mercado, M.D.

Title

President and Ceo

Phone

(912) 876-2298

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pajaro Pediatrics Other name

Locations

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1952506438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313100951",
            "telephone_number": "912-876-2298",
            "fax_number": "912-876-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 HWY 196 W",
            "address_2": "E.G. MILES PKWY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313138013",
            "telephone_number": "912-876-2298",
            "fax_number": "912-876-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIO E.PAJARO, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "PAJARO MERCADO",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "912-876-2298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "035303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000486571F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pajaro Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pediatrics Physician in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.