PARK HEIGHTS MEDICAL CLINIC LLC - NPI 1639101462 - Family Medicine in Baltimore, MD

Q: What is Park Heights Medical Clinic LLC's NPI number?

The NPI number for Park Heights Medical Clinic LLC is 1639101462. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Jai Medical Center and Jai Medical Center/ Park Heights.

Q: What is Park Heights Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Park Heights Medical Clinic Llc NPPES

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

PARK HEIGHTS MEDICAL CLINIC LLC (NPI 1639101462), doing business as Jai Medical Center, is a healthcare organization registered as a family medicine in Baltimore, Maryland and active in the NPI registry since July 2006. The organization lists Jai M Seunarine, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639101462

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePARK HEIGHTS MEDICAL CLINIC LLC

Location Address4340 PARK HEIGHTS AVEBaltimore, MD 21215-6725

Mailing Address5010 York RdBaltimore, MD 21212-4437 · (410) 433-2200 · Fax (410) 532-7246

Phone(410) 542-8130

Fax(410) 542-1826

Organization SubpartNo

Authorized OfficialJai M SeunarineCeo · (410) 433-2200

Enumeration DateJuly 6, 2006

Last NPPES UpdateMay 5, 20252 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ NPI 1639101462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4340 PARK HEIGHTS AVE, Baltimore, MD 21215

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Other Names 2

Doing Business AsJai Medical Center

Doing Business AsJai Medical Center/ Park Heights

Other Identifiers 3

Medicaid069231000MD

OtherK614PAMD · Bluecross/bluesheild Md

Other1347MD · Jai Medical System Mco

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHYANN GIBBS CRNP-FAMILY

Nurse Practitioner (Family)