Global Health Ipa

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1912143986 Issued in MI

Legal business name

GLOBAL HEALTH IPA

Practice address

4727 Saint Antoine St
Ste 202
Detroit, MI 48201-1461

Phone

(313) 831-8805

NPI assigned

Dec 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mary L Jackson Hammond, M.D.NPI 1215015680

Title

President

Phone

(313) 831-8805

Specialties & licenses 1

Addresses

Tax ID family

Global Health Ipa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Global Health Ipa

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1912143983
  NPD tax ID

Locations

Practitioners 1

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

• Mary L Jackson-Hammond, M.D.

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1215015680
  NPD (past) Authorized official

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1558769836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 SAINT ANTOINE ST",
            "address_2": "STE 202",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011461",
            "telephone_number": "313-831-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 SAINT ANTOINE ST",
            "address_2": "STE 202",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011461",
            "telephone_number": "313-831-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL HEALTH IPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "JACKSON HAMMOND",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-831-8805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "1912143986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary K Glenn, SAC
• Pamalar Glenn, RN
• Tamarra Yvette Glenn, BA
• Chelsea Glinski, LLMSW
• Global Health and Wellness Rehabilitation
• Global Health Ipa
• Global Health Matters PLLC
• Global Quality Inc
• Gloria'S Home Help Care LLC
• Glorious Business Enterprise LLC

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.