DR. JACQUELYN NICOLE RODRIGUEZ


Address: 11012 E 13 Mile Rd, Ste # 212, Warren, MI 48093-2572
Phone: 5865827150

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 4301083536 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBSM PIN NUMBER 16-0502308-2 01

Other Providers JACQUELYN RODRIGUEZ

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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

Office Location

Street Address 11012 E 13 MILE RD, STE # 212
City WARREN
State MI
Zip Code 48093-2572

Providers in the same zip code

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 Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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City WARREN
Zip Code 48093

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Dataset Information

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.

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