Active NPI
Jonathan Jershaun King, M.D.
- Family Medicine Physician
- Laingsburg, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301098783
- Practice address
- 317 E Grand River Rd
Laingsburg, MI 48848-8742 - Phone
- (517) 651-2801
- Fax
- (517) 651-2310
- NPI assigned
- Jul 12, 2011
- Last updated
- Apr 4, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301098783 | MI | Primary |
Addresses
Primary practice location
317 E Grand River Rd
Laingsburg, MI 48848-8742
Mailing address
317 E Grand River Rd
Laingsburg, MI 48848-8742
Phone (517) 651-2801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437447414 | Medicaid | MI |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2078 E Big Beaver Rd
Beaumont Urgent Care of Michigan
Troy, MI 48083-2301
Phone (248) 918-0744
29263 Orchard Lake Rd
Farmington Hills, MI 48334-2953
Phone (248) 488-5900
317 E Grand River Rd
1 MH Family Medicine Laingsburg
Laingsburg, MI 48848-8742
Phone (517) 651-2801
42757 Woodward Ave
Beaumont Urgent Care by Wellstreet
Bloomfield Hills, MI 48304-5037
Phone (248) 940-4937
6470 Orchard Lake Rd
West Bloomfield, MI 48322-2337
Phone (248) 419-8019
Hospital & facility affiliations
- Memorial Healthcare
- Beaumont Hospital Royal Oak
- Edward W Sparrow Hospital
- University of Michigan Health- Sparrow Clinton
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.04 of 100
- Quality
- 67.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 52.21
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.58 of 100
- Quality
- 58.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.45
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Wellstreet Urgent Care of Michigan | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Past | Accepting new patients | |
| Memorial Hospital | Past | Accepting new patients |
Locations
9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273
317 E Grand River Rd
Laingsburg, MI 48848
Phone (517) 651-2801
317 E Grand River Rd
Ste 1
Laingsburg, MI 48848
Phone (517) 651-2801
3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004
2078 E Big Beaver Rd
Troy, MI 48083
Phone (248) 855-4134
Interoperability endpoints
- j.king@memorialhealthcare.midirect.net
- jonathanking@memh.allscriptsdirect.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Memorial Medical Associates
- General Practice Physician
- Owosso, MI
- NPI 1235160532
Family Medicine
-
dba Corewell Health Urgent Care
- Urgent Care Clinic/Center
- West Bloomfield, MI
- NPI 1578048096
-
dba Memorial Medical Associates
- General Practice Physician
- Owosso, MI
- NPI 1316008006
Family Medicine
-
dba Memorial Medical Associates
- Anesthesiology Physician
- Owosso, MI
- NPI 1659527737
-
- Non-Pharmacy Dispensing Site
- Troy, MI
- NPI 1649952052
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Michigan Health-Sparrow Lansing
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
dba Thoracic Cardiovascular Institute
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
dba University of Michigan Health-Sparrow Clinton
- Critical Access Hospital
- Saint Johns, MI
- NPI 1093809824
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1437447414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 E GRAND RIVER RD",
"city": "LAINGSBURG",
"state": "MI",
"postal_code": "488488742",
"telephone_number": "517-651-2801",
"fax_number": "517-651-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 E GRAND RIVER RD",
"city": "LAINGSBURG",
"state": "MI",
"postal_code": "488488742",
"telephone_number": "517-651-2801",
"fax_number": "517-651-2310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JONATHAN",
"middle_name": "JERSHAUN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-12",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301098783",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437447414",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laingsburg, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.