Jenna M Kleiber, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006078 Issued in MI

Practice address

8338 Allen Rd
Allen Park, MI 48101-1399

Phone

(313) 386-5500

Fax

(313) 386-5500

NPI assigned

Aug 12, 2011

Sex

Female

Sole proprietor

No

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jennakleiber@wwp.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Western Wayne Family Physicians, PLC

  • Family Medicine Physician
  • Allen Park, MI
  • NPI 1629263520
  Medicare reassignment

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1497034144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8338 ALLEN RD STE 101",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011399",
            "telephone_number": "313-386-5500",
            "fax_number": "313-386-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8338 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011399",
            "telephone_number": "313-386-5500",
            "fax_number": "313-386-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIBER",
        "first_name": "JENNA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surinder Mohan Kaura, MD
• Amanda Putrus Kejbou, PA-C
• Kevin J Potocsky, DDS,PC
• Shahwar Khan, MD
• Ashlee Kilbourne
• Kimberly A Kleinlein
• Dean Kleinschmidt, ATC
• Praveena Koneru, MD
• Jane Kramar, M.D.
• Theresa Marie Kramer

• Physician Assistant in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.