NPIMap

Organization Active NPI

Jennifer a. Winegarden D.O., P.C.

  • Family Medicine Physician
  • Southfield, MI
National Provider Identifier
1093010332
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101014603 Issued in MI
Legal business name
JENNIFER A. WINEGARDEN D.O., P.C.
Practice address
24400 Inkster Rd
Southfield, MI 48033-2869
Phone
(248) 470-7417
NPI assigned
Jan 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Dr. Jennifer Ann Winegarden, D.O.
Title
President
Phone
(248) 470-7417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5101014603 MI Primary

Addresses

Primary practice location

24400 Inkster Rd
Southfield, MI 48033-2869

Mailing address

24400 Inkster Rd
Southfield, MI 48033-2869

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1093010332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24400 INKSTER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24400 INKSTER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332869",
            "telephone_number": "248-470-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER A. WINEGARDEN D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "WINEGARDEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-470-7417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101014603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.