Martin D Jennings, DO

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

5101007488 Issued in MI

Practice address

10256 N Whiteville Rd
Clare, MI 48617-9319

Phone

(989) 386-7982

Fax

(989) 386-4232

NPI assigned

Sep 24, 2006

Last updated

Dec 8, 2009By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Farwell Family Medicine Clinic PC

  • Geriatric Medicine (Family Medicine) Physician
  • Clare, MI
  • NPI 1386878031
  NPD Authorized official

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1902906456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10256 N WHITEVILLE RD",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486179319",
            "telephone_number": "989-386-7982",
            "fax_number": "989-386-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10256 N WHITEVILLE RD",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486179319",
            "telephone_number": "989-386-7982",
            "fax_number": "989-386-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "MARTIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101007488",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "5101007488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417309",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• HPMG of Michigan, P.C. (Nurse Practitioners)
• Human Aid, Inc.
• Lisa Marie Jaco-Mitchell, D.C
• Brandi Renee Jacobs, RN
• James Haines DDS PLLC
• Amanda Jensen
• John a Finn OD PC
• Joel Jordan, D.C.
• Jospeh R Yacisen DO PC (Mid Michigan Bone and Joint Center)
• Gary Kade

• Geriatric Medicine (Family Medicine) Physician in Clare, MI
• Providers in Clare, MI by specialty
• Geriatric Medicine (Family Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.