Linda Jakubus
Individual provider Active NPI Physician Assistant · Taylor, MI
NPI 1679627384 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679627384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601002701 (MI)
- Practice address
- 24887 Goddard Rd
Taylor, MI 48180-3930 - Phone
- (734) 946-7200
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omega Home Medical Equipment, Inc | Past | Accepting new patients | |
| Geriatric Psychiatric Services PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601002701 | MI | Yes |
Addresses
Primary practice location
24887 Goddard Rd
Taylor, MI 48180-3930
Mailing address
5362 Merritt Rd
Ypsilanti, MI 48197-9321
Phone (734) 330-4586
Other providers in Taylor, MI
- Serena Jaber
- Helen Louise Jackson
- Rickey T. Jackson
- Umakanth Reddy Jagu
- Lani Jakovac
- Nergis Jassim
- Meredith Jeffrey
- Morla Jenkins
- Shumitha Jeyaraj
- Jince John
All providers in Taylor, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.