Organization Active NPI

Johan Van Jaarsveld MD PLLC

  • Pulmonary Disease Physician
  • Nashville, TN
National Provider Identifier
1992170658
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
52609 Issued in TN
Legal business name
JOHAN VAN JAARSVELD MD PLLC
Practice address
397 Wallace Rd
Suite 415
Nashville, TN 37211-4854
Phone
(615) 834-9781
Fax
(615) 834-0864
NPI assigned
Dec 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
Johan Van Jaarsveld, M.D.
Title
Owner
Phone
(615) 834-9781

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 52609 TN
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 52609 TN Primary

Addresses

Primary practice location

397 Wallace Rd
Suite 415
Nashville, TN 37211-4854

Mailing address

397 Wallace Rd
Suite 415
Nashville, TN 37211-4854
Phone (615) 834-9781

Other identifiers 1

IdentifierTypeStateIssuer
1396024980OtherPERSONAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1992170658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD",
            "address_2": "SUITE 415",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114854",
            "telephone_number": "615-834-9781",
            "fax_number": "615-834-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD",
            "address_2": "SUITE 415",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114854",
            "telephone_number": "615-834-9781",
            "fax_number": "615-834-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHAN VAN JAARSVELD MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "VAN JAARSVELD",
        "authorized_official_first_name": "JOHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-834-9781",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "52609",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "52609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1396024980",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.