Junction Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

GU005238 Issued in MI

Legal business name

JUNCTION CLINIC

Practice address

4771 Michigan Ave
Detroit, MI 48210-3247

Phone

(313) 897-2600

Fax

(313) 897-2424

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Uzansky, D.O.NPI 1477523892

Title

Doctor

Phone

(313) 897-2600

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 4

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.

• Sailaja Peddireddy, MD

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1225215569
  Medicare reassignment NPD
• Jerome Sitner, D.O.

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1164492500
  Medicare reassignment NPD
• Aaron Michael Lammers, PA-C

  • Medical Physician Assistant
  • Detroit, MI
  • NPI 1417407438
  Medicare reassignment
• Jerry Uzansky, D.O.

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1477523892
  Authorized official Same address or phone

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1285813154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4771 MICHIGAN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482103247",
            "telephone_number": "313-897-2600",
            "fax_number": "313-897-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4771 MICHIGAN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482103247",
            "telephone_number": "313-897-2600",
            "fax_number": "313-897-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNCTION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "UZANSKY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "313-897-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "GU005238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "0258220204",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "0P01030",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL NUMBER",
            "identifier": "1477523892",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1117993",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ammar Abdulraheem Ahmed Jumah, MD.
• Dolrudee Jumlongras, DDS
• Nicole Jumper
• Steve Jun, MA
• Gjergj George Juncaj, NP
• Junction Clinic Health Center PLLC
• Aarti Juneja, ANP
• Ganeem Kuar Juneja, M.D.
• Mary Diane Junglas, PH.D, LMSW, CAAC
• Alexis Junior

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.