Serge Jean-Louis, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301040285 Issued in MI

Practice address

300 W McNichols Rd
Detroit, MI 48203-2703

Phone

(313) 867-8015

Fax

(313) 867-8040

NPI assigned

Mar 16, 2007

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

Other names 1

• Dr. Serge Jean-Louis Sr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811021140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35874 CONGRESS RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483351224",
            "telephone_number": "248-473-2973",
            "fax_number": "313-867-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482032703",
            "telephone_number": "313-867-8015",
            "fax_number": "313-867-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-LOUIS",
        "first_name": "SERGE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301040285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERGE",
            "last_name": "JEAN-LOUIS",
            "prefix": "DR.",
            "suffix": "SR.",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• JDB LLC
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• William Jeakle, MD
• Stacy Jean-Baptiste
• Claudia Jean-Pierre
• Valerie Jean
• Kristen Jeanette, DBH, MA, LPC, NCC
• Benita Joshley Jebackumar, DPM
• Kim Natasha Jebodhsingh, M.D

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, 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 8, 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.