Jacklyn Price

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301051333 Issued in MI

Legal business name

JACKLYN PRICE

Practice address

725 E 9 Mile Rd
Ferndale, MI 48220-1965

Phone

(313) 908-3071

Fax

(248) 543-8989

NPI assigned

Nov 18, 2010

Organization subpart

No

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

Authorized official

Name

Jacklyn Price

Title

Administrator

Phone

(313) 908-3071

Specialties & licenses 1

Addresses

Other names 1

• Metro Mobile Physicians P.C. Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sailajah Janarthanan, M.D.

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1811098247
  NPD
• Victor Savinov, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Ypsilanti, MI
  • NPI 1437300845
  NPD (past)

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1962704239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201965",
            "telephone_number": "313-908-3071",
            "fax_number": "248-543-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201965",
            "telephone_number": "313-908-3071",
            "fax_number": "248-543-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKLYN PRICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JACKLYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-908-3071"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301051333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Mobile Physicians P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integra Healthcare Equipment of Michigan, LLC
• Integral Medical Massage LLC
• Iris Wellness Center PLLC
• Christopher Timothy Isham, MD
• Kamya Jabari
• Rolanda Jamie Jackson
• Shelby Jacquemain, LMSW-C
• Ana Jacquette
• Ananda Marian Alberda Jatel, LMSW
• Evan Alexander Jenkins

• Family Medicine Physician in Ferndale, MI
• Providers in Ferndale, 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 May 2, 2011; 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.