DR. JACQUELYN NICOLE RODRIGUEZ (NPI# 1427264902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427264902 |
Entity Type | Individual |
Full Name | DR. JACQUELYN NICOLE RODRIGUEZ |
Other Name | DR. JACQUELYN NICOLE WALKER |
Credential | MD |
Practice Address |
11012 E 13 Mile Rd, Ste # 212 Warren MI 48093-2572 |
Practice Telephone | 5865827150 |
Practice Fax Number | 5865827164 |
Mailing Telephone | 5865827150 |
Mailing Fax Number | 5865827164 |
Enumeration Date | 2007-05-14 |
Last Update Date | 2009-01-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 4301083536 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBSM PIN NUMBER | 16-0502308-2 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477117158 | Jacquelyn Rodriguez | Behavior Technician | 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 | 2019-04-27 |
1376025148 | Jacquelyn Rodriguez | Speech-Language Pathologist | 13333 Blanco Rd Ste 310, San Antonio, TX 78216-7756 | 2018-08-29 |
1578807863 | Jacquelyn L Rodriguez | Physical Therapy Assistant | 2440 Ormsby Cir W, Jacksonville, FL 32210-3928 | 2012-11-27 |
Street Address |
11012 E 13 MILE RD, STE # 212 |
City | WARREN |
State | MI |
Zip Code | 48093-2572 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
Find all providers in zip 48093 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205273315 | Dina Kassab | Obstetrics & Gynecology | 11885 E 12 Mile Rd Ste 202a, Warren, MI 48093-3469 | 2013-05-30 |
1427385954 | Bhanu J. Shah Md PC | Obstetrics & Gynecology | 29175 Ryan Rd, Warren, MI 48092-4243 | 2009-11-04 |
1790942993 | Sawsan Wadi Jamil | Obstetrics & Gynecology | 11012 E 13 Mile Rd Ste 212, Warren, MI 48093-2547 | 2008-05-16 |
1689855058 | Amine R Abdul-aal | Obstetrics & Gynecology | 200 Garfield Dr Ne, Suite 1, Warren, OH 44483-5557 | 2007-11-14 |
1790991909 | Jennifer Marie Nowasielski | Obstetrics & Gynecology | 30117 Schoenherr Rd Ste 400, Warren, MI 48088-6854 | 2007-05-15 |
1477647501 | Adagio Health Inc. | Obstetrics & Gynecology | 306 Hazel St, Warren, PA 16365-4920 | 2006-10-03 |
1861587321 | Cortland Obgyn Associates Inc | Obstetrics & Gynecology | 200 Garfield Dr, Suite A, Warren, OH 44483 | 2006-10-03 |
1790793941 | Meiuttenun Chong Marie Brown | Obstetrics & Gynecology | 8200 Old 13 Mile Rd, Suite 106, Warren, MI 48093-2171 | 2006-08-04 |
1588671648 | Gerard Joseph Pregenzer | Obstetrics & Gynecology | 65 Mountain Blvd Ext Suite 201, Womens Health Care of Warren, Warren, NJ 07059 | 2006-08-02 |
1487693255 | Maya Mansukhlal Sanghavi | Obstetrics & Gynecology | 27 Mountain Blvd Ste 6, Warren, NJ 07059-5605 | 2006-06-06 |
Find all providers in WARREN |
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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.