DR. JONATHON P STATE (NPI# 1376595066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376595066 |
| Entity Type | Individual |
| Full Name | DR. JONATHON P STATE |
| Credential | M.D. |
| Practice Address |
757 Vinewood Birmingham MI 48009 |
| Practice Telephone | 2486446029 |
| Practice Fax Number | 5192587896 |
| Mailing Telephone | 2486446029 |
| Mailing Fax Number | 5192587896 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2011-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301074553 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | UHC | 1730121 | 01 |
| MI | MCARE | C7104 | 01 |
| MI | AETNA | 5228630 | 01 |
| MI | MERCY CARE CHOICES | 127456 | 01 |
| MI | 4120366 | 05 | |
| MI | RR MEDICARE | CC3713 | 01 |
| MI | CIGNA | 1591463 | 01 |
| MI | PHYSICIAN LICENSE | 4301074553 | 01 |
| MI | BCBSM | 700H21076 | 01 |
| Street Address |
757 VINEWOOD |
| City | BIRMINGHAM |
| State | MI |
| Zip Code | 48009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183836 | Carolyn Joanna Archer | Dietitian, Registered | 1155 Derby Rd, Apt 3, Birmingham, MI 48009 | 2017-06-08 |
| 1912374695 | Valerie Kim Kaplansky | Counselor | 300 E. Maple Road, 315, Birmingham, MI 48009 | 2015-08-28 |
| 1578956348 | Nancy Jane Naski | Recreation Therapist | 623 Hanna St, Birmingham, MI 48009 | 2015-03-18 |
| 1619370236 | Caitlin Stoltman | Recreation Therapist | 1669 W. Maple Rd., Far, Birmingham, MI 48009 | 2014-09-28 |
| 1295140770 | Lauren Elizabeth Perlin | Obstetrics & Gynecology | 35046 Woodward Ave Ste 100, Birmingham, MI 48009 | 2014-06-24 |
| 1235560764 | Better Life Learning | Community/Behavioral Health | 33717 Woodward Ave #253, Birmingham, MI 48009 | 2013-12-10 |
| 1689949034 | Drs Housecalls PC | Internal Medicine | 298 S. Old Woodward, Birminham, MI 48009 | 2012-03-19 |
| 1689942021 | Brian Connolly Md PC | Psychiatry & Neurology | 189 Townsend, Suite 300, Birmingham, MI 48009 | 2011-12-13 |
| 1619204187 | Dr. Lori PC | Dermatology | 353 South Old Woodward Ave, Birmingham, MI 48009 | 2009-11-04 |
| 1033348453 | Jason Eric Gregory | Music Therapist | 1669 West Maple, Birmingham, MI 48009 | 2009-07-07 |
| Find all providers in zip 48009 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718968 | Doctorwellington LLC | Family Medicine | 1500 1st Ave N Unit 37, Birmingham, AL 35203-1872 | 2020-01-03 |
| 1427696400 | Lori Kaye Hess | Family Medicine | 1387 Pierce St, Birmingham, MI 48009-3648 | 2019-12-20 |
| 1033765888 | Alabama Regional Medical Services | Family Medicine | 2800 Wilson Rd Sw, Birmingham, AL 35221-1303 | 2019-08-16 |
| 1104326925 | Alabama Regional Medical Services | Family Medicine | 3200 27th St N Ste C, Birmingham, AL 35207-4554 | 2018-02-19 |
| 1053832089 | Medhelp Shelby, LLC | Family Medicine | 3143 Pelham Parkway, Birmingham, AL 35214 | 2017-06-29 |
| 1740718006 | Alabama Regional Medical Services | Family Medicine | 921 2nd Ave N, Birmingham, AL 35203-3019 | 2017-05-31 |
| 1902333974 | Liberty Wellness Services | Family Medicine | 420 20th St N Ste 2200, Birmingham, AL 35203-3261 | 2017-05-22 |
| 1205361912 | St Vincents Primary Care Patchwork Farms LLC | Family Medicine | 3056 Healthy Way, Suite 100, Birmingham, AL 35243-2434 | 2017-05-01 |
| 1669926861 | My E-physicians, PC | Family Medicine | 1381 Birmingham Blvd, Birmingham, MI 48009-1997 | 2016-08-05 |
| 1740646181 | Ksenia Nikolayevna Blinnikova | Family Medicine | 1201 11th Ave S Ste 410, Birmingham, AL 35205-3423 | 2016-01-14 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 48009 |
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| 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.