JEFFREY A. LONDON MD PC (NPI# 1861708257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861708257 |
| Entity Type | Organization |
| Organization Name | JEFFREY A. LONDON MD PC |
| Practice Address |
2075 W Big Beaver Rd Suite 520 Troy MI 48084-3407 |
| Practice Telephone | 2486466659 |
| Practice Fax Number | 2486428645 |
| Mailing Telephone | 2486466659 |
| Mailing Fax Number | 2486428645 |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |
| Authorized Official Name | JEFFREY A, LONDON (PRESIDENT) |
| Authorized Official Telephone | 2486466659 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
4301040691 | MI | Ambulatory Health Care Facilities |
| Street Address |
2075 W BIG BEAVER RD SUITE 520 |
| City | TROY |
| State | MI |
| Zip Code | 48084-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124332 | Advanced Professional Home Health Care, Inc | Home Health | 2075 W Big Beaver Rd, Suite # 602, Troy, MI 48084-3407 | 2005-06-15 |
| 1114408903 | Stephen John Batchelor | Social Worker | 2075 W Big Beaver Rd, Troy, MI 48084-3407 | 2018-08-28 |
| 1306386883 | Megan Jobes | Physical Therapist | 2075 W Big Beaver Rd, Ste 601, Troy, MI 48084-3407 | 2017-03-02 |
| 1366802209 | Heather Carroll | Psychologist | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3407 | 2016-03-04 |
| 1053718759 | Geoffrey Kantack | Social Worker | 2075 W Big Beaver Rd, Troy, MI 48084-3407 | 2014-11-24 |
| 1992116222 | Mira Cely | Psychologist | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3407 | 2014-05-08 |
| 1568881910 | Brooke Weingarden Do Mph Pllc | Psychiatry & Neurology | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3407 | 2014-04-14 |
| 1114359254 | Zubair G. Rathur | Physical Therapist | 2075 W Big Beaver Rd, Troy, MI 48084-3407 | 2013-07-31 |
| 1124361308 | Whitney Kantack | Psychologist | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3407 | 2013-04-05 |
| 1023358652 | Monica Lynn Nagle | Marriage & Family Therapist | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3407 | 2013-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1477585495 | Cardiology Care Inc | Clinic/Center | 3006 N County Road 25a, Ste 104, Troy, OH 45373-1373 | 2006-07-07 |
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| 1447715131 | Ryan Klanseck, Do | Clinic/Center | 16986 Robbins Rd Ste 140, Grand Haven, MI 49417-2795 | 2019-02-06 |
| 1598242455 | Gratiot Advanced Center LLC | Clinic/Center | 7612 Gratiot Ave Ste 200, Detroit, MI 48213-2822 | 2018-07-24 |
| 1902356140 | Midmichigan Pain | Clinic/Center | 2305 Hawthorn Dr, Suite B, Mt Pleasant, MI 48858-1202 | 2016-10-12 |
| 1184085516 | Hester S Pernell Md Pllc | Clinic/Center | 24628 Ridgeview Dr, Farmington Hills, MI 48336-1905 | 2016-03-12 |
| 1275937625 | Innovative Anesthesia Services PC | Clinic/Center | 847 Parchment Dr Se Ste 105, Grand Rapids, MI 49546 | 2014-10-14 |
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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.