Jack Anavian M.D.
Orthopaedic Surgery Physician in Providence, RI(View on Map)
Full Name
Jack Anavian M.D.
NPI Number
1427286608
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/26/2009
Specialties
(Taxonomies)Licenses
State
Rhode Island
License Number
14549
Contact
Information
Purpose
Mailing
Location
Address
2943 HIGHWAY 77
2 DUDLEY ST
City
Panama City
Providence
State
FL
RI
Postal Code
32405-4411
02905-3236
Country
US
US
Telephone Number
(850) 914-7060
(401) 444-3581
Health Information Exchange
Endpoint Type
SOAP
Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Endpoint Description
Carequality
Use
Health Information Exchange (HIE)
Content Type
Other
Other Description:C-CDA
Affiliation
Y
Endpoint Location
Southern California Permanente Medical Group9961 Sierra AveFontana, CA923356720US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/28/2021
Provider Address
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