Jonathon P State, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301074553 Issued in MI

Practice address

757 Vinewood
Birmingham, MI 48009

Phone

(248) 644-6029

Fax

(519) 258-7896

NPI assigned

May 17, 2006

Last updated

May 6, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1376595066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 VINEWOOD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "48009",
            "telephone_number": "248-644-6029",
            "fax_number": "519-258-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 VINEWOOD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "48009",
            "telephone_number": "248-644-6029",
            "fax_number": "519-258-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATE",
        "first_name": "JONATHON",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301074553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Vincent Spurlin, M.D.
• Stacey M Goldfine DO PLLC
• Mary Bruce Stallard, NP
• David P. Stanislaw, M.S.W.
• Patricia A. Stanko, LCSW
• Michael Stein, LLP
• Robert L. Stephenson, M.D.
• Alina Stevenson, PSY.D.
• Caitlin Stoltman, CTRS
• Jay Alex Stone, D.D.S

• Family Medicine Physician in Birmingham, MI
• Providers in Birmingham, 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 May 6, 2011; 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.