Jerry Nosanchuk DO PLLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

JERRY NOSANCHUK DO PLLC

Practice address

31500 Telegraph Rd
Suite 210
Bingham Farms, MI 48025-4367

Phone

(248) 644-7200

Fax

(248) 644-7210

NPI assigned

Apr 2, 2008

Last updated

Jan 26, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jerry Nosanchuk, DONPI 1568529931

Title

Physician

Phone

(248) 926-8080

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry Leon Nosanchuk, D.O.

  • Adult Medicine Physician
  • Bingham Farms, MI
  • NPI 1568529931
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1023281706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 NORTHRIDGE CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231397",
            "telephone_number": "248-926-8080",
            "fax_number": "248-926-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31500 TELEGRAPH RD",
            "address_2": "SUITE 210",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254367",
            "telephone_number": "248-644-7200",
            "fax_number": "248-644-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY NOSANCHUK DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "NOSANCHUK",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-926-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MICHIGAN",
            "identifier": "0158224424",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniella Jaward
• Mackenzie Jebb, SLP
• Imyia Jeffries
• Ashley Jenkins
• Olya Jennings, CRNA
• Jennifer Jeshurun, DPT
• Fatimah Jobeh
• Sanu John Mathew
• John Paul Home Care, LLC
• John Paul Home Hospice LLC

• Adult Medicine Physician in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Adult Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.