Jag Medical Services LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JAG MEDICAL SERVICES LLC

Practice address

105 S Cedar St Ste G
Summerville, SC 29483-6078

Phone

(619) 933-5382

NPI assigned

Nov 5, 2019

Last updated

Jan 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jared Guichard, MDNPI 1669734760

Title

Owner

Phone

(619) 933-5382

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, and the practitioner matching its NPPES authorized official.

• Jared Guichard

  • Internal Medicine Physician
  • Summerville, SC
  • NPI 1669734760
  Authorized official Same address or phone

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1952945636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 RAVEN RD",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294108509",
            "telephone_number": "619-933-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S CEDAR ST STE G",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836078",
            "telephone_number": "619-933-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAG MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "GUICHARD",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-933-5382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669734760",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandy Jackson
• Megan Kayla Jackson
• Nancy Pritchard Jackson, MPT
• Tammy Denise Jackson
• Meghana Jacob
• James C. Andrews DMD PA
• James F. Deavers, OD, PA
• James Fox MD, LLC
• Katherine James, LCSW
• Thomas M Janecek, DDS

• Internal Medicine Physician in Summerville, SC
• Providers in Summerville, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.