Jeffrey Delongchamp, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1075 Suncrest Dr Ste C
Lapeer, MI 48446-4403

Phone

(810) 667-7333

NPI assigned

Sep 12, 2013

Last updated

Nov 27, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McLaren Lapeer RegionGroup PAC ID 8123000544, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McLaren Lapeer Region

  • Certified Registered Nurse Anesthetist
  • Lapeer, MI
  • NPI 1124151147
  Medicare reassignment Care Compare group
• McLaren Lapeer Region

  • Multi-Specialty Clinic/Center
  • Lapeer, MI
  • NPI 1740313667
  NPD
• McLaren Lapeer Region

  • Skilled Nursing Facility
  • Lapeer, MI
  • NPI 1104917079
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Lapeer Region

  dba McLaren HealthCare Corporation

  • General Acute Care Hospital
  • Lapeer, MI
  • NPI 1205824737
  Care Compare affiliation

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1750716437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 SUNCREST DR STE C",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484464403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 SUNCREST DR STE C",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484464403",
            "telephone_number": "810-667-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONGCHAMP",
        "first_name": "JEFFREY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katarina Rae Dean, CNM
• Zondra Elizabeth Dejesus
• Edwin L Delange, D.O. PC
• Megan Elizabeth Delay
• Brooklynn Marie Delong
• Samantha Delreal
• Jessica Demoines
• Kristie Demoss
• Zowie Demoss
• Denise Smith LMSW, LLC

• Physician Assistant in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.