Active NPI
Nadine S Jennings MD PLC
- Physical Medicine & Rehabilitation Physician
- West Bloomfield, MI
National Provider Identifier
1265634117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- NADINE S JENNINGS MD PLC
- Practice address
- 2300 Haggerty Rd
Suite 2150
West Bloomfield, MI 48323-2184 - Phone
- (248) 926-6610
- NPI assigned
- Jun 4, 2007
- 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
- Nadine S Jennings, MD
- Title
- Owner
- Phone
- (248) 926-6610
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
2300 Haggerty Rd
Suite 2150
West Bloomfield, MI 48323-2184
Mailing address
635 Willow Glen CT
Bloomfield Hills, MI 48304-2954
National Provider Directory
National Provider DirectoryLocations
2300 Haggerty Rd
Ste 2
West Bloomfield, MI 48323
Phone (248) 313-5940
2300 Haggerty Rd
Ste 2150
West Bloomfield, MI 48323
Phone (248) 625-5550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389571200000",
"number": "1265634117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 WILLOW GLEN CT",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483042954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 HAGGERTY RD",
"address_2": "SUITE 2150",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483232184",
"telephone_number": "248-926-6610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NADINE S JENNINGS MD PLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-04",
"last_updated": "2014-01-13",
"status": "A",
"authorized_official_last_name": "JENNINGS",
"authorized_official_first_name": "NADINE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-926-6610",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.