Sara Juanita Jumping Eagle
M.D. | Pediatric Adolescent Medicine | Female
Sara Juanita Jumping Eagle, M.D. is a Ft. Yates, North Dakota based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Sara Juanita Jumping Eagle is
10 N. River Rd., Fort Yates Ihs Hospital/clinic, Ft. Yates, North Dakota - 58538. She can be contacted on phone at
701-854-3831 and fax number 701-854-7399.
Sara Juanita Jumping Eagle is a sole proprietor of her business.
NPI number (Unique professional ID) for Sara Juanita Jumping Eagle is
1508865007 which was assigned by NPPES on 18 Jul, 2005 and it was last updated on 03 Dec, 2014.
Sara Juanita Jumping Eagle license number is
11019 for Pediatrics Adolescent Medicine (2080A0000X) in North Dakota.
Sara Juanita Jumping Eagle specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Sara Juanita Jumping Eagle basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Sara Juanita Jumping Eagle |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
Business Address:
Sara Juanita Jumping Eagle address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 10 N. River Rd., Fort Yates Ihs Hospital/clinic
Ft. Yates, ND, 58538
United States |
|---|
| Phone Number : | 701-854-3831 |
|---|
| Fax Number : | 701-854-7399 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1508865007 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 18 Jul, 2005 |
|---|
| Last Updated On : | 03 Dec, 2014 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sara Juanita Jumping Eagle are as mentioned. Primary taxonomy code for Sara Juanita Jumping Eagle, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 11019 | ND |
Legacy Identifiers:
Other legacy medical identifiers of Sara Juanita Jumping Eagle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 15044 | MEDICAID | ND | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 10 North River Road
Fort Yates, ND, 58538
United States |
|---|
| Phone Number : | 701-854-3831 |
|---|
| Fax Number : | 701-854-7399 |
|---|
Business Location:
Patients can refer following map for directions to
Sara Juanita Jumping Eagle practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.