Organization Active NPI

Doctortelevisit PLC

  • Family Medicine Physician
  • Ypsilanti, MI
National Provider Identifier
1225618754
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DOCTORTELEVISIT PLC
Practice address
124 Pearl St Ste 202
Ypsilanti, MI 48197-2663
Phone
(248) 845-8664
Fax
(734) 338-8030
NPI assigned
Apr 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Authorized official

Name
Dr. Antonia JerkinsNPI 1316234792
Title
Owner
Phone
(248) 845-8664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

124 Pearl St Ste 202
Ypsilanti, MI 48197-2663

Mailing address

32455 W 12 Mile Rd Unit 2502
Farmington, MI 48333-7121

Other practice location 1

30856 Groesbeck Hwy Ste B
Roseville, MI 48066-1580
Phone (248) 845-8664

National Provider Directory

National Provider Directory

Locations

32455 W 12 Mile Rd
Unit 2502
Farmington, MI 48333

30856 Groesbeck Hwy
Ste B
Roseville, MI 48066
Phone (248) 845-8664

124 Pearl St
Ste 202
Ypsilanti, MI 48197
Phone (248) 845-8664

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1225618754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32455 W 12 MILE RD UNIT 2502",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483337121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PEARL ST STE 202",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972663",
            "telephone_number": "248-845-8664",
            "fax_number": "734-338-8030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30856 Groesbeck Hwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MI",
            "postal_code": "480661580",
            "country_code": "US",
            "telephone_number": "248-845-8664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOCTORTELEVISIT PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "JERKINS",
        "authorized_official_first_name": "ANTONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-845-8664",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.