Active NPI
Sherry Quan Ngo, PA-C
- Physician Assistant
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601009799
- Practice address
- 205 N East Ave
Jackson, MI 49201-1753 - Phone
- (517) 205-4800
- NPI assigned
- Feb 19, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601009799 | MI | Primary |
Addresses
Primary practice location
205 N East Ave
Jackson, MI 49201-1753
Mailing address
205 N East Ave
Jackson, MI 49201-1753
Phone (517) 205-4800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sngo652208@direct.hfhs.org | W.A. Foote Memorial Hospital |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
205 N E Ave
Jackson, MI 49201-1753
Phone (248) 536-2127
Hospital & facility affiliations
- Henry Ford Allegiance Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601009799 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W.a. Foote Memorial Hospital, Inc | Physician Assistant | Current | Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Physician Assistant | Past | Accepting new patients |
Locations
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000
205 N East Ave
Fl 7
Jackson, MI 49201
Phone (517) 788-4713
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580
Organizations & group practices 8
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Jackson, MI
- NPI 1982478251
-
- Hospitalist Physician
- Jackson, MI
- NPI 1275306078
-
- Hospitalist Physician
- Southfield, MI
- NPI 1851820641
-
- Emergency Medical Services (Emergency Medicine) Physician
- Southfield, MI
- NPI 1700119500
-
- Nurse Practitioner
- Jackson, MI
- NPI 1629000708
-
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
- Endocrinology, Diabetes & Metabolism Physician
- Jackson, MI
- NPI 1790222651
-
- Emergency Medicine Physician
- Jackson, MI
- NPI 1265487722
Physician Assistant
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1497388359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N EAST AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011753",
"telephone_number": "517-205-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N EAST AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011753",
"telephone_number": "517-205-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGO",
"first_name": "SHERRY",
"middle_name": "QUAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-19",
"last_updated": "2021-03-31",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601009799",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sngo652208@direct.hfhs.org",
"affiliation": "Y",
"affiliationName": "W.A. Foote Memorial Hospital",
"address_1": "205 N East Ave",
"address_2": "7th FL One Jackson Square",
"city": "Jackson",
"state": "MI",
"country_code": "US",
"postal_code": "49201",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 31, 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.