JENNIFER M GIDEON (NPI# 1104272160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104272160 |
| Entity Type | Individual |
| Full Name | JENNIFER M GIDEON |
| Credential | FNP |
| Practice Address |
1560 E Maple Rd Suite 400 - Credentialing Troy MI 48083-1138 |
| Mailing Address |
4160 John R St Ste 917 Detroit MI 48201-2020 |
| Practice Telephone | 3137454525 |
| Practice Fax Number | 3137450011 |
| Mailing Telephone | 3137454525 |
| Mailing Fax Number | 3137450011 |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704139802 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750430385 | Jennifer Anne Gideon | Physical Therapist | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2007-01-10 |
| Street Address |
1560 E MAPLE RD SUITE 400 - CREDENTIALING |
| City | TROY |
| State | MI |
| Zip Code | 48083-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407803075 | Nehman Lorenzo Lauder | Family Medicine | 1560 E Maple Rd, Ste 101, Troy, MI 48083-1138 | 2006-05-28 |
| 1194258624 | Michael Chaouki Gemayel | Student in an Organized Health Care Education/Training Program | 1560 E Maple Rd, Troy, MI 48083-1135 | 2017-04-11 |
| 1124551981 | Tricia Ann Fernandez | Student in an Organized Health Care Education/Training Program | 1560 E Maple Rd, Troy, MI 48083-1135 | 2017-04-09 |
| 1619380946 | University Physician Group | Pharmacist | 1560 E Maple Rd, Suite 400, Troy, MI 48083-1138 | 2014-06-04 |
| 1093058786 | Tess A Mccready | Family Medicine | 1560 E Maple Rd, Suite 101, Troy, MI 48083-1138 | 2013-04-01 |
| 1154616985 | Heather N Abraham | Internal Medicine | 1560 E Maple Rd, Suite 400-credentialing, Troy, MI 48083-1138 | 2011-06-09 |
| 1033446547 | Ross Mayerhoff | Otolaryngology | 1560 E Maple Rd, Suite 200, Troy, MI 48083-1138 | 2009-11-05 |
| 1710147756 | Peter Paximadis | Radiology | 1560 E Maple Rd, Suite 400 - Credentialing Dept, Troy, MI 48083-1138 | 2008-06-12 |
| 1205942869 | Kathleen Pilchowski | Internal Medicine | 1560 E Maple Rd, Suite 400-credentialing Department, Troy, MI 48083-1138 | 2006-08-23 |
| 1164460895 | Georgia Michalopoulou | Psychologist | 1560 E Maple Rd, Troy, MI 48083-1135 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998777 | Nila Ellison | Nurse Practitioner | 2810 Alisop Pl Apt 306, Troy, MI 48084-3470 | 2020-10-04 |
| 1689286262 | Kayla Dawn Metz | Nurse Practitioner | 101 Hunters Mountain Pkwy, Troy, AL 36079-5895 | 2020-08-17 |
| 1801421953 | Veronica Talevska | Nurse Practitioner | 1054 Henrietta Ave, Troy, MI 48083-1908 | 2020-03-10 |
| 1245878636 | Kim S Hussey | Nurse Practitioner | 989 Elba Hwy, Troy, AL 36079-6050 | 2019-12-16 |
| 1548804685 | Kelly N Lofton | Nurse Practitioner | 144 Prison Ln, Troy, VA 22974 | 2019-11-01 |
| 1740831528 | Monica Hallac | Nurse Practitioner | 3630 Old Creek Rd, Troy, MI 48084-1658 | 2019-09-24 |
| 1053961482 | Vian Murad | Nurse Practitioner | 752 Amberwood Dr, Troy, MI 48085-1676 | 2019-09-17 |
| 1245886100 | Sheila Kay Mitchell | Nurse Practitioner | 101 Hunter Mountain Parkway, Troy, AL 36081-3608 | 2019-08-15 |
| 1427510262 | Allison Michelle Harper | Nurse Practitioner | 3006 N County Road 25a Ste 102, Troy, OH 45373-1373 | 2019-04-02 |
| 1669940409 | Astasia C Goodenough | Nurse Practitioner | 5680 Wright Dr, Troy, MI 48098-2917 | 2018-11-09 |
| Find all providers in TROY | ||||
Please comment or provide details below to improve the information on JENNIFER M GIDEON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.