Michael J Jessup, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

100630 Issued in MO

Practice address

1810 E Plaza Way
Cape Girardeau, MO 63703-5842

Phone

(573) 335-1344

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1972503035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 E PLAZA WAY",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035842",
            "telephone_number": "573-335-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 E PLAZA WAY",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035842",
            "telephone_number": "573-335-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSUP",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "100630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203338736",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCB  S",
            "identifier": "27801",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Jeffords
• Dinia R Jenkins, LPC
• Rachael Marie Jenkins, APRN, FNP-BC
• Julie R Jennings, RDH
• Mollie Jennings, MA-CF
• Rachel Elizabeth Jeter
• Peter P Jiang, MD
• Yawen Jiang, AU.D.
• Lisa Job, RN
• Kelly Hoene Joggerst, MD

• Obstetrics & Gynecology Physician in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.