Individual provider Active NPI

Theresa Stephanine Jones, M.S. PA C

  • Medical Physician Assistant
  • Clinton Township, MI
National Provider Identifier
1376552877
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601003971 Issued in MI
Practice address
43650 Garfield Rd
Clinton Township, MI 48038-1120
Phone
(586) 263-0820
Fax
(586) 263-3819
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601003971 MI Primary

Addresses

Primary practice location

43650 Garfield Rd
Clinton Township, MI 48038-1120

Mailing address

43650 Garfield Rd
Clinton Township, MI 48038-1120
Phone (586) 263-0820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061027000075 MI Practitioner - Physician Assistant 3971496316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Extended Care Services PCGroup PAC ID 9133029127, 29 clinicians

Practice addresses (Care Compare)

18312 Middlebelt Rd
Livonia, MI 48152-5007
Phone (248) 426-9944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Extended Care Services PC CurrentSince Feb 1, 2026 Accepting new patients
Neurosurgery Group, P.C. Past Accepting new patients

Locations

725 Fuller Ave
Big Rapids, MI 49307
Phone (231) 796-2631

9500 Grand River Ave
Detroit, MI 48204
Phone (313) 491-7920

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

25375 Kelly Rd
Roseville, MI 48066
Phone (586) 733-6022

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376552877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43650 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381120",
            "telephone_number": "586-263-0820",
            "fax_number": "586-263-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43650 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381120",
            "telephone_number": "586-263-0820",
            "fax_number": "586-263-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "THERESA",
        "middle_name": "STEPHANINE",
        "name_prefix": "Ms.",
        "credential": "M.S. PA C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.