Charles E Jessup DO PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101005335 Issued in MI

Legal business name

CHARLES E JESSUP DO PLLC

Practice address

4599 Towne Centre Rd
Saginaw, MI 48604-2804

Phone

(989) 497-3000

NPI assigned

Sep 6, 2012

Organization subpart

No

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

Authorized official

Name

Charles E Jessup, DO

Title

President

Phone

(989) 684-1120

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1942559802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3068 HIDDEN RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487061241",
            "telephone_number": "989-684-1120",
            "fax_number": "989-391-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4599 TOWNE CENTRE RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042804",
            "telephone_number": "989-497-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E JESSUP DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "JESSUP",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-684-1120",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101005335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juwan Quinntell Chapman I, LLMSW
• Matt Chappel
• Jennifer Chappins
• Charles a. Borchard, DPM, PLLC
• Charles and Rose Kelley Open Arms
• Charles F. Lydy, D.D.S., P.C.
• Gina Ann Chartier, L.M.T.
• Janelle Chase
• Madison Chase
• Saad Chaudhry, MD

• Family Medicine Physician in Saginaw, MI
• Providers in Saginaw, 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 Sep 6, 2012; 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.