JOSE TAD-Y EDURESE MD - NPI 1801854344 - Internal Medicine in Jackson, MI

Q: What is Jose Edurese's NPI number?

The NPI number for Jose Edurese is 1801854344. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Q: What is Jose Edurese's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jose Edurese was last updated on January 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Jose Tad-y Edurese Md NPPES

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

JOSE TAD-Y EDURESE MD (NPI 1801854344) is an individual internal medicine provider in Jackson, Michigan, licensed in Michigan (4301032704) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1801854344

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJOSE TAD-Y EDURESECredential: MD

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing AddressDepartment 272801, Po Box 67000Detroit, MI 48267-2728 · (517) 782-9401 · Fax (517) 784-2259

Phone(517) 788-4800

Sole ProprietorNo

Enumeration DateMay 3, 2006

Last NPPES UpdateJanuary 15, 2009

✔ NPI 1801854344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301032704

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

205 N EAST AVE, Jackson, MI 49201

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Other Identifiers 4

Other11023493MI · Rr Medicare

Medicaid101591571MI

Medicare ID-Type UnspecifiedN53130005MI · Wa Foote Memorial

Medicare UPIND91283MI

Other Providers at the Same Location NPPES 20

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

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