Organization Active NPI

G Scott Jenning DO PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Farmington Hills, MI
National Provider Identifier
1679769061
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
5101007541 Issued in MI
Legal business name
G SCOTT JENNING DO PC
Practice address
28080 Grand River Ave
Ste 208N
Farmington Hills, MI 48336-5966
Phone
(248) 478-7733
Fax
(248) 478-3533
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
G Scott Jennings, D.O.
Title
Doctor
Phone
(248) 474-5456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X 5101007541 MI Primary

Addresses

Primary practice location

28080 Grand River Ave
Ste 208N
Farmington Hills, MI 48336-5966

Mailing address

28080 Grand River Ave
Ste 208N
Farmington Hills, MI 48336-5966
Phone (248) 478-7733

Other identifiers 1

IdentifierTypeStateIssuer
1836048MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1679769061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28080 GRAND RIVER AVE",
            "address_2": "STE 208N",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365966",
            "telephone_number": "248-478-7733",
            "fax_number": "248-478-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28080 GRAND RIVER AVE",
            "address_2": "STE 208N",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365966",
            "telephone_number": "248-478-7733",
            "fax_number": "248-478-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G SCOTT JENNING DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "248-474-5456",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "5101007541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1836048",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.