F M Jara MD PC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

FJ037807 Issued in MI

Legal business name

F M JARA MD PC

Practice address

4568 Beecher Rd
Flint, MI 48532-2615

Phone

(810) 762-8621

Fax

(810) 732-8676

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Fernando M Jara, MD

Title

Owner

Phone

(810) 732-8621

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Frederick Roger Armenti, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Flint, MI
  • NPI 1770536302
  NPD (past)

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1952575219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4568 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322615",
            "telephone_number": "810-762-8621",
            "fax_number": "810-732-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4568 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322615",
            "telephone_number": "810-762-8621",
            "fax_number": "810-732-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F M JARA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "JARA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-732-8621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "FJ037807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4447517",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Flint, MI
• Providers in Flint, MI by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.