Active NPI
Doctortelevisit PLC
- Family Medicine Physician
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Antonia Jerkins
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.
-
- Family Medicine Physician
- Wayne, MI
- NPI 1316234792
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.