JAMIL EYAD HADDAD DO
NPI 1548019540
Student in an Organized Health Care Education/Training Program in Mount Clemens, MI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 14, 2024PECOS Enrolled

1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043(586) 790-9003 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 14, 2024, May 14, 2024 (2 updates tracked since 2024).

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About Jamil Eyad Haddad Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMIL EYAD HADDAD DO (NPI 1548019540) is an individual student in an organized health care education/training program in Mount Clemens, Michigan and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548019540

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJAMIL EYAD HADDADCredential: DO

Location Address1000 HARRINGTON STMount Clemens, MI 48043-2920

Mailing Address1000 Harrington StMount Clemens, MI 48043-2920 · (586) 790-9003

Phone(586) 790-9003

Sole ProprietorNo

Enumeration DateMay 14, 2024

Last NPPES UpdateJune 14, 20242 updates tracked since enumeration

NPPES CertifiedJune 14, 2024

✔ NPI 1548019540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 5151016568 (MI)

1000 HARRINGTON ST, Mount Clemens, MI 48043

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamil Eyad Haddad Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.