Organization Active NPI

Jennifer Fretz,PLC

  • Family Medicine Physician
  • Flat Rock, MI
National Provider Identifier
1679755037
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
JF012064 Issued in MI
Legal business name
JENNIFER FRETZ,PLC
Practice address
25620 Gibraltar Rd
Flat Rock, MI 48134-1243
Phone
(734) 789-9355
Fax
(734) 789-1520
NPI assigned
Nov 28, 2007
Last updated
Nov 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Mrs. Jennifer Elise Fretz, D.ONPI 1477531929
Title
President
Phone
(734) 789-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X JF012064 MI Primary

Addresses

Primary practice location

25620 Gibraltar Rd
Flat Rock, MI 48134-1243

Mailing address

25620 Gibraltar Rd
Flat Rock, MI 48134-1243
Phone (734) 789-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060407000061 MI Part B Supplier - Clinic/Group Practice 9830108521 Receives reassigned benefits from 2 practitioners
Practice locations: Trenton, MI

National Provider Directory

National Provider Directory

Locations

25620 Gibraltar Rd
Flat Rock, MI 48134
Phone (734) 789-8950

1570 Kingsway Ct
Ste 1
Trenton, MI 48183
Phone (833) 373-7389

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7749/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1679755037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25620 GIBRALTAR RD",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481341243",
            "telephone_number": "734-789-9355",
            "fax_number": "734-789-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25620 GIBRALTAR RD",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481341243",
            "telephone_number": "734-789-9355",
            "fax_number": "734-789-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER FRETZ,PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "FRETZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-789-9355",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "JF012064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flat Rock, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.