Lois Michelle Butler-Jackson, MD, CWS

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301051182 Issued in MI

Practice address

37400 Garfield Rd
Suite 110
Clinton TWP, MI 48036-3648

Phone

(586) 286-6389

Fax

(586) 226-0403

NPI assigned

Jan 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Physicians Residential Services, P.C.

  • General Practice Physician
  • Eastpointe, MI
  • NPI 1700866811
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1508846320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37400 GARFIELD RD",
            "address_2": "SUITE 110",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363648",
            "telephone_number": "586-286-6389",
            "fax_number": "586-226-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37400 GARFIELD RD",
            "address_2": "SUITE 110",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363648",
            "telephone_number": "586-286-6389",
            "fax_number": "586-226-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER-JACKSON",
        "first_name": "LOIS",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD, CWS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301051182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1106355961",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4784286",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly E Buckley, RN
• Meadow Jane Bugamelli
• Daniel Thomas Bukacel Jr.
• Brian William Bunte, BSW, LBSW
• Norman Joseph Buss, RPH.
• Lee Butler
• Raymond H Buzenski, M.D.
• Scott Cahill, LBSW
• Jennifer Calabrese
• Kaylee Calcaterra

• Internal Medicine Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.