DR. JAMES H JASTER MD NPI 1003005885

Psychiatry & Neurology (Neurology) in Memphis, TN

About JAMES JASTER

James Jaster is a provider in Memphis, TN. The NPI number assigned to this provider is 1003005885. The practitioner's primary taxonomy code is Psychiatry & Neurology (2084N0400X). The provider is registered as an individual and their NPI record was last updated 7 years ago.

NPI1003005885 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. JAMES H JASTER MD
Provider Location Address23 SOUTH PAULINE STREET, SUITE 709 MEMPHIS, TN 38104 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address23 SOUTH PAULINE STREET, SUITE 709 MEMPHIS, TN 38104 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-17-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date01-04-2011 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. JAMES H JASTER MD
23 SOUTH PAULINE STREET,
SUITE 709
MEMPHIS, TN
ZIP 38104
Phone: (901) 577-9467
Fax: (901) 362-6618
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Mailing Address

DR. JAMES H JASTER MD
23 SOUTH PAULINE STREET,
SUITE 709
MEMPHIS, TN
ZIP 38104
Phone: (901) 577-9467
Fax: (901) 362-6618

Primary Taxonomy

Taxonomy Code2084N0400X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationNeurology
License No.MD-26376
License StateTN
Taxonomy DescriptionA Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
4173667OTHER (01)TN
3098864MEDICARE PIN (08)TN
1510855MEDICAID (05)TN
30988641MEDICARE PIN (08)TN
G23775MEDICARE UPIN (02)TN
3032118OTHER (01)TN
1811816MEDICAID (05)TN

Map Location


DR. JAMES H JASTER MD address is 23 SOUTH PAULINE STREET, SUITE 709 MEMPHIS, TN 38104