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
- Last updated
- Jan 13, 2014
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- West Bloomfield, MI
- NPI 1851361711
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.