Jan Medical Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101012791 Issued in MI

Legal business name

JAN MEDICAL INC

Practice address

45686 S Lake Dr
Novi, MI 48377-3919

Phone

(248) 921-5593

NPI assigned

Aug 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Loren Chudler, DO

Title

Ceo

Phone

(248) 921-5593

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1992285118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45686 S LAKE DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773919",
            "telephone_number": "248-921-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45686 S LAKE DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773919",
            "telephone_number": "248-921-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "CHUDLER",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-921-5593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164477816",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Jamieson
• Larry Andrew Jamison
• Catherine Jamrog, PT
• Danielle Jamrog
• Brenda Jamsgard
• Janaki V Annavarapu MD PC
• Jill Ann Janavikas, FNP-BC
• Kerri Janda
• Frank Janssen
• Kahjha Jappa

• Family Medicine Physician in Novi, MI
• Providers in Novi, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.