Jacob Puthenparampil John, RN

Primary specialty

Infection Control Registered NurseTaxonomy code 163WI0600X

License

4704245304 Issued in MI

Practice address

2215 Fuller Rd
111 (I)
Ann Arbor, MI 48105-2303

Phone

(734) 845-5393

NPI assigned

Mar 9, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1285909283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8361 CHATHAM DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 FULLER RD",
            "address_2": "111 (I)",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052303",
            "telephone_number": "734-845-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "JACOB",
        "middle_name": "PUTHENPARAMPIL",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-09",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "MI",
            "license": "4704245304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Frederick Scheerer MD PC
• John G Clinthorne DDS Ms & Heawon Ludia Kim DMD Ms PC
• John J Kelly MD PC
• John R Rathje
• Denise Ann-Marie John, M.D.
• Kevin Denny John, MD
• Seema Manesh John, CRNA
• Shiny Susan John
• Daniel Johns, TLLP
• Susan Johnson-Jaworski

• Infection Control Registered Nurse in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Infection Control Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.