Active NPI
Jennifer P Demore, M.D.
- Allergy & Immunology Physician
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 4301095230
- Practice address
- 2000 N Huron River Dr Ste 200
Ypsilanti, MI 48197-1791 - Phone
- (734) 434-3007
- Fax
- (734) 434-6317
- NPI assigned
- May 5, 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 4301095230 | MI | Primary |
Addresses
Primary practice location
2000 N Huron River Dr Ste 200
Ypsilanti, MI 48197-1791
Mailing address
4350 Jackson Road, Ste 260
Allergy & Immunology Associates of Ann Arobor, P.C.
Ann Arbor, MI 48103-1889
Phone (734) 434-3007
Other names 1
- Dr. Jennifer Lynn Preston
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
- Allergy/Immunology
- Education
- University of Michigan Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 S Canton Ctr Rd
2200 Allergy and Immunology Associates of Mic
Canton, MI 48188-6334
Phone (734) 434-3007
2000 N Huron River Dr
Suite 200
Ypsilanti, MI 48197-1791
Phone (734) 434-3007
26850 Providence Pkwy
Suite 503
Novi, MI 48374-1267
Phone (248) 349-5752
32270 Telegraph Rd
Suite 175
Bingham Farms, MI 48025-2407
Phone (248) 932-0082
4350 Jackson Rd
Ann Arbor, MI 48103-1896
Phone (734) 434-3007
6247 Grand River Rd
Suite 400
Brighton, MI 48114-5326
Phone (734) 434-3007
Hospital & facility affiliations
- Trinity Health Livingston Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301095230 | MI | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Immunology Associates of Ann Arbor, P.C. | Current | Accepting new patients | |
| Glenn G. Marinelli MD PA | Past | Accepting new patients | |
| Dr Ridhu C Burton MD PC | Allergy & Immunology | Past | Accepting new patients |
Locations
4350 Jackson Rd
Ste 370
Ann Arbor, MI 48103
4350 Jackson Rd
Ste 260
Ann Arbor, MI 48103
Phone (313) 434-3007
6247 Grand River Rd
Ste 400
Brighton, MI 48114
Phone (734) 434-3007
26850 Providence Pkwy
Ste 503
Novi, MI 48374
Phone (248) 349-5752
2000 N Huron River Dr
Ste 200
Ypsilanti, MI 48197
Phone (734) 434-3007
Interoperability endpoints
- jdemore1124953@direct.hfhs.org
Organizations & group practices 3
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.
-
- Allergy Physician
- Ypsilanti, MI
- NPI 1568671972
-
- Allergy & Immunology Physician
- Lansing, MI
- NPI 1699955641
-
- Otolaryngology Physician
- Prince Frederick, MD
- NPI 1780854885
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902854490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4350 JACKSON ROAD, STE 260",
"address_2": "ALLERGY & IMMUNOLOGY ASSOCIATES OF ANN AROBOR, P.C.",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481031889",
"telephone_number": "734-434-3007",
"fax_number": "734-434-6317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 N HURON RIVER DR STE 200",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971791",
"telephone_number": "734-434-3007",
"fax_number": "734-434-6317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMORE",
"first_name": "JENNIFER",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MI",
"license": "4301095230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "PRESTON",
"middle_name": "LYNN",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.