MRS. JENNIFER ANN GEORGIA (NPI# 1841580180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841580180 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER ANN GEORGIA |
| Other Name | JENNIFER ANN GILBERT (MAIDENT) |
| Credential | P.A. |
| Practice Address |
2300 Haggerty Rd Ste 1110 West Bloomfield MI 48323 |
| Practice Telephone | 2486692000 |
| Practice Fax Number | 2486692110 |
| Mailing Telephone | 2486692000 |
| Mailing Fax Number | 2486692110 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2014-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601007054 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601007054 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2300 HAGGERTY RD STE 1110 |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033744164 | Ann Timm | Registered Nurse | 2300 Haggerty Rd, West Bloomfield, MI 48323-2184 | 2020-03-09 |
| 1356817688 | Courtney Peper | Nurse Practitioner | 2300 Haggerty Rd, West Bloomfield, MI 48323 | 2018-10-14 |
| 1124521711 | Justin Joshua Smith | Physician Assistant | 2300 Haggerty Rd, West Bloomfield, MI 48323-2184 | 2018-03-09 |
| 1841682432 | Team Rehabilitation Hg, LLC | Physical Therapist | 2300 Haggerty Rd, Suite 2020, West Bloomfield, MI 48323-2184 | 2015-02-19 |
| 1861819161 | Michigan Interventional Pain Associates Pllc | Pain Medicine | 2300 Haggerty Rd, Suite 2100, West Bloomfield, MI 48323-2184 | 2014-03-25 |
| 1740619121 | Lakes Psychiatric Center, Pllc | Psychiatry & Neurology | 2300 Haggerty Rd, Suite 2160, West Bloomfield, MI 48323-2184 | 2013-11-05 |
| 1760828198 | Abaris Health | Psychologist | 2300 Haggerty Rd, Suite 2160, West Bloomfield, MI 48323-2184 | 2013-05-13 |
| 1629329933 | Amy Noble Isenberg | Dentist | 2300 Haggerty Rd, West Bloomfield, MI 48323-2184 | 2012-09-26 |
| 1902157498 | Vhs Physicians of Michigan | Internal Medicine | 2300 Haggerty Rd, Suite 2120, West Bloomfield, MI 48323-2184 | 2012-09-25 |
| 1649545955 | Dorene K Hardie-goo | Nurse Practitioner | 2300 Haggerty Rd, Suite 2010, West Bloomfield, MI 48323-2184 | 2012-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235503301 | James K. Uhes | Occupational Therapist | 2300 Haggerty Rd. Ste 2190, Lakes Medical Center, West Bloomfield, MI 48323 | 2015-11-30 |
| 1700253283 | Max Elder | Specialist/Technologist | 2387 Scotch Pine St, West Bloomfield, MI 48323 | 2015-08-31 |
| 1952792400 | Michael Cataldo | Technician, Other | 6626 Torybrooke Ct, West Bloomfield, MI 48323 | 2015-02-05 |
| 1982944666 | Steven Nathan Rives | Internal Medicine | 2300 Haggerty Rd Ste 2060, West Bloomfield, MI 48323 | 2013-02-18 |
| 1275871832 | Detroit Medical Center Sinai Grace Hospital | General Acute Care Hospital | 3495 Pine Estates Drive, West Bloomfield, MI 48323 | 2013-01-16 |
| 1295090793 | Advance Health Care System, LLC | Massage Therapist | 4267 Foxpoint, West Bloomfield, MI 48323 | 2012-07-10 |
| 1841566700 | Eduardo Rivera | Pathology | 2920 Bloomfield Shore Drive, West Bloomfield, MI 48323 | 2012-03-26 |
| 1952611782 | Debra Mary Gregory PC LLC | Social Worker | 7130 Walnut Lake Road, West Bloomfield, MI 48323 | 2010-10-14 |
| 1033362793 | Alvin Yousif Daboul | Dentist | 2332 Hiller Road, West Bloomfield, MI 48323 | 2008-10-28 |
| 1386846574 | Jerald B Maltzman | Radiology | 4744 Wendrick Dr, W. Bloomfield, MI 48323 | 2007-06-01 |
| Find all providers in zip 48323 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459308 | Brittany Marie Heffernan | Physician Assistant | 5940 Cromwell Rd, West Bloomfield, MI 48322-1424 | 2019-07-24 |
| 1598191066 | Rachel Ruth Baker | Physician Assistant | 2300 Haggerty Rd Ste 2150, West Bloomfield, MI 48323-2192 | 2013-09-17 |
| 1164791752 | Jessica Marie Tacconelli | Physician Assistant | 6330 Orchard Lake Rd., Suite 120, West Bloomfield, MI 48322 | 2011-12-28 |
| 1477195808 | Austin Karbowski | Physician Assistant | 2300 Haggerty Rd Ste 1010, West Bloomfield, MI 48323-2185 | 2019-10-17 |
| 1831527175 | Medical Rehabilitation Physicians | Physician Assistant | 6079 W Maple Rd, #100b, West Bloomfield, MI 48322-2283 | 2013-10-24 |
| 1144571597 | Sally Razouki Abro | Physician Assistant | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2012-09-25 |
| 1457679599 | Larisa Spielberg Joeright | Physician Assistant | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2010-05-13 |
| 1962725556 | Ann Marie Kuykendall | Physician Assistant | 5777 W Maple Rd Ste 200, West Bloomfield, MI 48322-2271 | 2010-03-10 |
| 1174857460 | Laura Marie Francis | Physician Assistant | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2009-09-20 |
| 1043470826 | Margaret Delina Palombit | Physician Assistant | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2008-06-14 |
| Find all providers in WEST BLOOMFIELD | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48323 |
Please comment or provide details below to improve the information on MRS. JENNIFER ANN GEORGIA.
| 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.