Active NPI
G Scott Jennings DO PC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Farmington Hills, MI
National Provider Identifier
1194994343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- GJ007541
- Legal business name
- G SCOTT JENNINGS DO PC
- Practice address
- 28080 Grand River
208N
Farmington Hills, MI 48336 - Phone
- (248) 478-7733
- Fax
- (248) 478-3533
- NPI assigned
- Feb 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George Scott Jennings
- Title
- President
- Phone
- (248) 478-7733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | GJ007541 | MI | Primary |
Addresses
Primary practice location
28080 Grand River
208N
Farmington Hills, MI 48336
Mailing address
28080 Grand River
Suite 208
Farmington Hills, MI 48336
Phone (248) 478-7733
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183604811 | Medicaid | MI | |
| 3356314144 | Other | MI | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261526400000",
"number": "1194994343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28080 GRAND RIVER",
"address_2": "SUITE 208",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "48336",
"telephone_number": "248-478-7733",
"fax_number": "248-478-3533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28080 GRAND RIVER",
"address_2": "208N",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "48336",
"telephone_number": "248-478-7733",
"fax_number": "248-478-3533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G SCOTT JENNINGS DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-21",
"last_updated": "2009-12-23",
"status": "A",
"authorized_official_last_name": "JENNINGS",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-478-7733",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MI",
"license": "GJ007541",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183604811",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3356314144",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.