National Provider Identifier Database

SARA J JUMPING EAGLE, MD – NPI #1508865007
Adolescent Medicine

A pediatrician who 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.


Contact Information

SARA J JUMPING EAGLE, MD
10 N. RIVER RD.
FORT YATES IHS HOSPITAL/CLINIC
FORT YATES, ND58538
Phone: 701-854-3831
Fax: 701-854-7399
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for SARA J JUMPING EAGLE

NPI Number 1508865007
Credentials MD
Entity Individual
Enumeration date 07/18/2005
Last updated 12/03/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • ND License #: 11019
  • ND Medicaid: 15044
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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