Jean Jaffke, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

JJ061256 Issued in MI

Legal business name

JEAN JAFFKE, M.D., P.C.

Practice address

46325 W 12 Mile
Suite 325
Novi, MI 48377

Phone

(248) 662-4100

Fax

(248) 380-8556

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jean A Jaffke, M.D.NPI 1164420014

Title

President

Phone

(248) 662-4100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jean Anna Jaffke, M.D.

  • Colon & Rectal Surgery Physician
  • Novi, MI
  • NPI 1164420014
  Medicare reassignment NPD Authorized official
• Alasdair I.L. McKendrick, M.D.

  • Colon & Rectal Surgery Physician
  • Southfield, MI
  • NPI 1003814955
  NPD (past)
• Jian Zu, MD

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1629096698
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1447380217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46325 W12 MILE RD",
            "address_2": "SUITE 325",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-662-4100",
            "fax_number": "248-380-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46325 W 12 MILE",
            "address_2": "SUITE 325",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-662-4100",
            "fax_number": "248-380-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN JAFFKE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "JAFFKE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-662-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "JJ061256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Jaskulski
• Heather Jastram
• Chelsea Jautakis
• Almedina Javor
• Kshama S Jayasuriya, R.PH
• Danielle Jean
• Latoya Jefferson
• Jeffrey D Joshowitz DO PC
• Krassimira Jeffrey
• Kaitlyn Jeffries

• Specialist in Novi, MI
• Providers in Novi, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.