Active NPI
Jennifer O'Neill
- Obstetrics & Gynecology Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5101025139
- Practice address
- 4200 Whitehall Dr Ste 330
Ann Arbor, MI 48105-9694 - Phone
- (734) 434-0477
- Fax
- (734) 434-6240
- NPI assigned
- Apr 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | 5101025139 | MI | Primary |
Addresses
Primary practice location
4200 Whitehall Dr Ste 330
Ann Arbor, MI 48105-9694
Mailing address
24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766
Other practice location 1
5333 McAuley Dr
Suite 2110
Ypsilanti, MI 48197-1014
Phone (734) 712-3967
Other practice location 2
2854 S 11th St
Kalamazoo, MI 49009-2129
Phone (269) 345-6197
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
- Obstetrics/Gynecology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4200 Whitehall Dr
Suite 330
Ann Arbor, MI 48105-9694
Phone (734) 434-0477
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Service Corporation | Obstetrics & Gynecology | Current | Accepting new patients |
| Iha Health Services Corporation | Obstetrics & Gynecology | Current | Accepting new patients |
| Iha Health Services Corporation | Obstetrics & Gynecology | Current | Accepting new patients |
| Iha Health Services Corporation | Past | Accepting new patients |
Locations
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
4200 Whitehall Dr
Ste 330
Ann Arbor, MI 48105
Phone (734) 434-0477
49650 Cherry Hill Rd
Ste 120
Canton, MI 48187
Phone (734) 398-7800
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764
990 W Ann Arbor Trl
Ste 302
Plymouth, MI 48170
Phone (734) 414-1090
4990 W Clark Rd
Ste 200
Ypsilanti, MI 48197
Phone (734) 572-7500
5333 McAuley Dr
Rm 2110
Ypsilanti, MI 48197
Phone (734) 712-3967
Interoperability endpoints
- joneill293059@direct.trinity-health.org
Organizations & group practices 4
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 IHA Canton Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
dba Trinity Health IHA Medical Group OB/GYN Float
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
dba IHA Ann Arbor OB /Gyn
- Obstetrics & Gynecology Physician
- Ann Arbor, MI
- NPI 1235286840
-
dba IHA Milan Primary Care
- Family Medicine Physician
- Milan, MI
- NPI 1467509067
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trinity Heath Ann Arbor Hospital
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1437545431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR STE J2000",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484",
"telephone_number": "734-747-6766",
"fax_number": "734-222-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 WHITEHALL DR STE 330",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059694",
"telephone_number": "734-434-0477",
"fax_number": "734-434-6240"
}
],
"practiceLocations": [
{
"address_1": "5333 McAuley Dr",
"address_2": "Suite 2110",
"address_purpose": "LOCATION",
"city": "Ypsilanti",
"state": "MI",
"postal_code": "481971014",
"country_code": "US",
"telephone_number": "734-712-3967",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2854 S 11th St",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490092129",
"country_code": "US",
"telephone_number": "269-345-6197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'NEILL",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-07",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5101025139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.