Jarom Jardine, DO is a
Pediatrics physician based in Kirtland Afb, New Mexico. Jarom Jardine is licensed to practice in Ohio (license number 34.016257) and his current practice location is 2050a 2nd St Se, Kirtland Afb, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 846-3200.
NPI number for Jarom Jardine is 1043891575 and his current mailing address is 4881 Sugar Maple Dr, Dayton, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043891575.
Physician's Profile
Full Name | Jarom Jardine |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 2050a 2nd St Se, Kirtland Afb, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043891575
- Provider Enumeration Date: 04/16/2021
- Last Update Date: 07/26/2024
Medical Identifiers
Medical identifiers for Jarom Jardine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043891575 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 34.016257 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jarom Jardine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jarom Jardine, DO 4881 Sugar Maple Dr, Dayton, OH 45433-5529 Ph: (937) 522-4784 | Jarom Jardine, DO 2050a 2nd St Se, Kirtland Afb, NM 87117-1873 Ph: (505) 846-3200 |
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