Active NPI
Jacklyn M McParlane, DO
- Emergency Medical Services (Emergency Medicine) Physician
- Saline, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 012341
- Practice address
- 400 W Russell St
Saline, MI 48176-1183 - Phone
- (734) 429-1551
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 012341 | MI | Primary |
Addresses
Primary practice location
400 W Russell St
Saline, MI 48176-1183
Mailing address
2000 Green Rd
Suite 300
Ann Arbor, MI 48105-1598
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3492634 | Medicaid | MI | |
| JM012341 | Other | MI | BC/BS |
| 3492975 | Medicaid | MI | |
| 3492966 | Medicaid | MI |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1255 E M
Pinckney, MI 48169-8133
Phone (734) 878-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012341 | MI | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Past | Accepting new patients | |
| Epmg of Michigan, P.C. | Past | Accepting new patients |
Locations
2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840
775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
1255 E M 36
Pinckney, MI 48169
Phone (734) 878-1000
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
400 W Russell St
Saline, MI 48176
Phone (734) 429-1500
2078 E Big Beaver Rd
Troy, MI 48083
Phone (248) 855-4134
Interoperability endpoints
- jmcparlane25919@direct.trinity-health.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Urgent Care Clinic/Center
- West Bloomfield, MI
- NPI 1578048096
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Urgent Care Clinic/Center
- Ann Arbor, MI
- NPI 1992937023
-
- Emergency Medicine Physician
- Livonia, MI
- NPI 1386688992
-
- Non-Pharmacy Dispensing Site
- Troy, MI
- NPI 1649952052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212624000000",
"number": "1891733887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 GREEN RD",
"address_2": "SUITE 300",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W RUSSELL ST",
"city": "SALINE",
"state": "MI",
"postal_code": "481761183",
"telephone_number": "734-429-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPARLANE",
"first_name": "JACKLYN",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2008-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "012341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3492634",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "JM012341",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3492975",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3492966",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saline, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.