Active NPI
Jeremy Joseph Taliercio, M.D.
- Emergency Medicine Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301107038
- Practice address
- 4200 Whitehall Dr
Suite 150
Ann Arbor, MI 48105-9694 - Phone
- (734) 995-0308
- NPI assigned
- Mar 29, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301107038 | MI | Primary |
Addresses
Primary practice location
4200 Whitehall Dr
Suite 150
Ann Arbor, MI 48105-9694
Mailing address
24 Frank Lloyd Wright Dr
PO Box 0446 - Lobby J
Ann Arbor, MI 48105-9484
Phone (734) 747-6766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301107038 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Current | Accepting new patients | |
| American Current Care of Michigan PC | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Sparrow Ionia Hospital | Emergency Medicine | Current | Accepting new patients |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| American Current Care of Michigan PC | Current | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
4200 Whitehall Dr
Ste 330
Ann Arbor, MI 48105
Phone (734) 434-0477
4200 Whitehall Dr
Ste 150
Ann Arbor, MI 48105
Phone (734) 995-0308
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600
3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355
436 44th St SE
Ste A
Kentwood, MI 49548
Phone (616) 531-9750
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1255 E M 36
Pinckney, MI 48169
Phone (734) 878-1000
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
11569 E 12 Mile Rd
Warren, MI 48093
Phone (586) 582-0018
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Grand Rapids, MI
- NPI 1659562262
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Critical Access Hospital
- Ionia, MI
- NPI 1700820065
-
- Urgent Care Clinic/Center
- Warren, MI
- NPI 1477745495
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Urgent Care Clinic/Center
- Ann Arbor, MI
- NPI 1992937023
-
- Family Medicine Physician
- Ionia, MI
- NPI 1033271143
-
- Emergency Medicine Physician
- Ionia, MI
- NPI 1588747075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476057600000",
"number": "1992071302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR",
"address_2": "PO BOX 0446 - LOBBY J",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484",
"telephone_number": "734-747-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 WHITEHALL DR",
"address_2": "SUITE 150",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059694",
"telephone_number": "734-995-0308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALIERCIO",
"first_name": "JEREMY",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-29",
"last_updated": "2016-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301107038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.