Jon Jen PLLC

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

4301062208 Issued in MI

Legal business name

JON JEN PLLC

Practice address

6704 Country Club LN
West Bloomfield, MI 48322-3972

Phone

(248) 933-9500

NPI assigned

Apr 20, 2016

Organization subpart

No

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

Authorized official

Name

Ronald Kattoo, MD

Title

Owner

Phone

(248) 933-9500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ron J. Kattoo, M.D.

  • Pulmonary Disease Physician
  • Detroit, MI
  • NPI 1912075466
  Medicare reassignment Care Compare group NPD
• Kristen Pawloski, NP

  • Acute Care Nurse Practitioner
  • Trenton, MI
  • NPI 1295121937
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1184078792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 COUNTRY CLUB LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223972",
            "telephone_number": "248-933-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6704 COUNTRY CLUB LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223972",
            "telephone_number": "248-933-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON JEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "KATTOO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-933-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301062208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shadesha Johnson
• Yevgeniya Johnson
• Yvonne Louise Johnson, PA-C
• Paul M. Johnston, M.D.
• Jon E. Cabot DDS Ms PC
• Alindria Jones
• Carla Dianne Jones, LMSW
• Heather Joy Jones
• Jeanette Marie Jones, OTR/L
• Joy L Jones, NP

• Critical Care Medicine (Internal Medicine) Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Critical Care Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.