NPIMap

Organization Active NPI

Joanne Kingsley MD PLLC

  • Gynecology Physician
  • Jackson, MI
National Provider Identifier
1427136472
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
JOANNE KINGSLEY MD PLLC
Practice address
1931 Horton Rd
Suite 8
Jackson, MI 49203-5594
Phone
(517) 782-7510
Fax
(517) 782-7520
NPI assigned
Nov 1, 2006
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Joanne Ruth Kingsley, M.D.NPI 1497833446
Title
President/Owner
Phone
(517) 796-4775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X NU Primary

Addresses

Primary practice location

1931 Horton Rd
Suite 8
Jackson, MI 49203-5594

Mailing address

1931 Horton Rd
Suite 8
Jackson, MI 49203-5594
Phone (517) 782-7510

Other identifiers 3

IdentifierTypeStateIssuer
1603811241OtherMIBCBS PROVIDER NUMBER
0720045OtherMIPHP PROVIDER NUMBER
104778547MedicaidMI

National Provider Directory

National Provider Directory

Locations

1023 E Ganson St
Jackson, MI 49201
Phone (517) 784-3388

1931 Horton Rd
Ste 8
Jackson, MI 49203
Phone (517) 782-7510

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1427136472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 HORTON RD",
            "address_2": "SUITE 8",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035594",
            "telephone_number": "517-782-7510",
            "fax_number": "517-782-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 HORTON RD",
            "address_2": "SUITE 8",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035594",
            "telephone_number": "517-782-7510",
            "fax_number": "517-782-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE KINGSLEY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "KINGSLEY",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "517-796-4775",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "1603811241",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP PROVIDER NUMBER",
            "identifier": "0720045",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104778547",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.