Organization Active NPI

John R Sarcar MD PC

  • Psychiatry Physician
  • Port Huron, MI
National Provider Identifier
1992036487
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301070436 Issued in MI
Legal business name
JOHN R SARCAR MD PC
Practice address
2033 11TH Ave
Port Huron, MI 48060-3207
Phone
(810) 984-1002
Fax
(810) 984-3737
NPI assigned
Jan 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Dr. John R Sarcar, MD
Title
Owner
Phone
(810) 984-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301070436 MI Primary

Addresses

Primary practice location

2033 11TH Ave
Port Huron, MI 48060-3207

Mailing address

2033 11TH Ave
Port Huron, MI 48060-3207
Phone (810) 984-1002

Other identifiers 1

IdentifierTypeStateIssuer
2607402122OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

3847 Pine Grove Ave
Ste A
Fort Gratiot, MI 48059
Phone (810) 984-2250

2820 W Maple Rd
Ste 125
Troy, MI 48084
Phone (248) 458-2008

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1992036487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 11TH AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603207",
            "telephone_number": "810-984-1002",
            "fax_number": "810-984-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 11TH AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603207",
            "telephone_number": "810-984-1002",
            "fax_number": "810-984-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R SARCAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "SARCAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-984-1002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301070436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2607402122",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.