Jennifer M. Lewiston

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JENNIFER M. LEWISTON

Practice address

42536 Hayes Rd Ste 100
Clinton TWP, MI 48038-3644

Phone

(586) 286-9644

NPI assigned

Jul 2, 2009

Last updated

Jul 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Michelle Lewiston, M.D.NPI 1326190224

Title

Medical Doctor

Phone

(248) 709-1177

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Michelle Lewiston

  • Family Medicine Physician
  • Royal Oak, MI
  • NPI 1326190224
  NPD (past) Authorized official

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1568691186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42536 HAYES RD STE 100",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383644",
            "telephone_number": "586-286-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42536 HAYES RD STE 100",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383644",
            "telephone_number": "586-286-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER M. LEWISTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "LEWISTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "248-709-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pallavi Jasti, M.D
• Lea Jeffire, CHW, PRC
• Jeffrey a Conn DC PC (Pointe Village Chiropractic)
• Jeffrey M Shuster MD PC
• Jeffrey M. Bruner, D.O., P.C. (Asthma & Allergy Institute of Michigan)
• Kristina Renee Jennings, PA-C
• Tamika Jennings
• Kimberly Ann Jeroue, OTR/L
• John a. Dobry DDS LLC
• Andrea Marie Johnson, LLBSW

• Family Medicine Physician in Clinton TWP, MI
• Providers in Clinton TWP, 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 Jul 2, 2009; 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.