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NPI Code Detail

MEDICARE: DR. DON R JAFFE M.D.

MEDICARE: DR. DON R JAFFE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician31230MA
2207Y00000XOtolaryngology Physician01074772AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457352031
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DON R JAFFE M.D.
Provider Business Mailing Address
First Line : 2401 W UNIVERSITY AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47303-3428
Country : US
Telephone Number : 765-747-3111
Fax Number :
Provider Business Practice Location Address
First Line : 5165 MCCARTY LN
Second Line :
City : LAFAYETTE
State : IN
Zip : 47905-8764
Country : US
Telephone Number : 765-838-5842
Fax Number : 765-838-4771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 04/12/2023

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Directions to “ DR. DON R JAFFE M.D.” Practice Location

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