Organization Active NPI

Nadine S Jennings MD PLC

  • Physical Medicine & Rehabilitation Physician
  • West Bloomfield, MI
National Provider Identifier
1265634117
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Jan 13, 2014

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.