Matthew Ajayi, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Jackson, MI
NPI 1194570366 · NPPES record last updated Apr 22, 2024
Key facts
- NPI
- 1194570366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 205 N East Ave
Jackson, MI 49201-1753 - Phone
- (517) 205-4800
- NPI assigned
- Apr 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- majayi994718@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
205 N East Ave
Jackson, MI 49201-1753
Mailing address
420 Adelphi St Apt D
Brooklyn, NY 11238-1566
Phone (516) 983-1606
Other providers in Jackson, MI
- Masood Ahmad
- Mobeen Ahmad
- Sameer Ahmed
- Amanda Ahrens
- Samuel Olasoji Ajagbonna
- Linda Akers
- Nofil Akhtar
- Samer Al Daheen
- Hala Al Dhmour
- Lama Al Jebbawi
All providers in Jackson, MI · Student in an Organized Health Care Education/Training Program in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.