Individual provider Active NPI

Jaime Lyn-Essian Taylor, D.O.

  • Adolescent Medicine (Family Medicine) Physician
  • Bloomfield Hills, MI
National Provider Identifier
1538471883
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X
License
5101018666 Issued in MI
Practice address
42505 Woodward Ave Ste 100
Bloomfield Hills, MI 48304-5147
Phone
(248) 771-2800
Fax
(248) 856-2939
NPI assigned
Jul 1, 2010
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02004262A IN
Family Medicine Physician 207Q00000X 510018666 MI
Adolescent Medicine (Family Medicine) Physician 207QA0000X 5101018666 MI Primary

Addresses

Primary practice location

42505 Woodward Ave Ste 100
Bloomfield Hills, MI 48304-5147

Mailing address

42505 Woodward Ave Ste 100
Bloomfield Hills, MI 48304-5147
Phone (248) 771-2800

Other names 1

  • Jaime Lyn Essian Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160726000870 MI Practitioner - Family PracticePractitioner - Pediatric MedicinePractitioner - Other (Physician) 2668613381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Science

State licenses

LicenseStateTypeSpecialty
02004262AINMDFamily Medicine Physician
510018666MIMDFamily Medicine Physician
5101018666MIMDAdolescent Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ceis PLLC Adolescent Medicine CurrentSince Apr 4, 2024 Accepting new patients
Major Hospital Past Accepting new patients
Ceis PLLC Adolescent Medicine Past Accepting new patients
Ceis PLLC Past Accepting new patients

Locations

42505 Woodward Ave
Ste 100
Bloomfield Hills, MI 48304
Phone (248) 353-0818

42505 Woodward Ave
Ste 200
Bloomfield Hills, MI 48304
Phone (248) 353-0818

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.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1538471883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42505 WOODWARD AVE STE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045147",
            "telephone_number": "248-771-2800",
            "fax_number": "248-856-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42505 WOODWARD AVE STE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045147",
            "telephone_number": "248-771-2800",
            "fax_number": "248-856-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JAIME",
        "middle_name": "LYN-ESSIAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02004262A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "510018666",
            "primary": false
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "MI",
            "license": "5101018666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "ESSIAN",
            "middle_name": "LYN",
            "credential": "D.O",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.