Active NPI
Jennifer Jamerino-Thrush, MD
- Pediatrics Physician
- Akron, OH
National Provider Identifier
1992266415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301510281
- Practice address
- 214 W Bowery St
Akron, OH 44308-1046 - Phone
- (330) 543-1000
- NPI assigned
- Mar 27, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301510281 | MI | Primary |
Addresses
Primary practice location
214 W Bowery St
Akron, OH 44308-1046
Mailing address
7484 Stonevalley BLF
Clarkston, MI 48348-4376
Phone (586) 913-3855
Other practice location 1
3901 Beaubien St
Detroit, MI 48201-2119
Phone (313) 745-5870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301510281 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pediatricians | Pediatrics | Current | Accepting new patients |
| Akron Children'S Hospital | Current | Accepting new patients | |
| University Pediatricians | Pediatrics | Current | Accepting new patients |
Locations
3901 Beaubien St
Ste H
Detroit, MI 48201
Phone (313) 745-5437
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
Interoperability endpoints
- jjamerinothrush95320@direct.chmca.org
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Detroit, MI
- NPI 1811920549
-
- Children's Hospital
- Akron, OH
- NPI 1942465752
-
- Pediatrics Physician
- Detroit, MI
- NPI 1184471690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1992266415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7484 STONEVALLEY BLF",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483484376",
"telephone_number": "586-913-3855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 W BOWERY ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443081046",
"telephone_number": "330-543-1000"
}
],
"practiceLocations": [
{
"address_1": "3901 Beaubien St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012119",
"country_code": "US",
"telephone_number": "313-745-5870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMERINO-THRUSH",
"first_name": "JENNIFER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-27",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301510281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.