JEFFREY MARSHALL TINGEN (NPI# 1891193355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891193355 |
| Entity Type | Individual |
| Full Name | JEFFREY MARSHALL TINGEN |
| Credential | PHARMD |
| Practice Address |
428 Church St Ann Arbor MI 48109-1065 |
| Practice Telephone | 7347642070 |
| Mailing Telephone | 7347642070 |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
20338 | NC | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
5302040721 | MI | Pharmacy Service Providers |
| Street Address |
428 CHURCH ST |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-1065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972815074 | Leslie Ann Shimp | Pharmacist | 428 Church St, College of Pharmacy-university of Michigan, Ann Arbor, MI 48109-1065 | 2010-07-06 |
| 1972881514 | Cleve Hosea | Student in an Organized Health Care Education/Training Program | 428 Church St, Ann Arbor, MI 48109-1065 | 2011-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598266082 | Chelsea Liebowitz | Pharmacist | 1050 Wall St Apt 2e, Ann Arbor, MI 48105-1971 | 2018-02-21 |
| 1972815074 | Leslie Ann Shimp | Pharmacist | 428 Church St, College of Pharmacy-university of Michigan, Ann Arbor, MI 48109-1065 | 2010-07-06 |
| 1699906420 | Miranda M Hill | Pharmacist | 333 S Main St Ste 202, Metro Drug Information Services, Inc., Ann Arbor, MI 48104-2179 | 2009-07-28 |
| 1730704438 | Gregory Eschenauer | Pharmacist | 1111 Catherine St, Ann Arbor, MI 48109-2054 | 2020-06-09 |
| 1164056560 | Ronald Edward Kendall | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-02-25 |
| 1134766298 | Karen Carol Shen | Pharmacist | 400 S Maple Rd, Ann Arbor, MI 48103-3835 | 2019-12-06 |
| 1437795705 | Min Zhang | Pharmacist | 2641 Plymouth Rd, Ann Arbor, MI 48105-2469 | 2019-11-21 |
| 1760041289 | Katherine Marie Plank | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2019-06-08 |
| 1538667373 | Megan Elizabeth Mills | Pharmacist | 2215 Fuller Rd., Ann Arbor, MI 48105-2303 | 2018-01-26 |
| 1417467242 | Frederick Michael Bergstrom | Pharmacist | 2215 Fuller Rd # 119, Ann Arbor, MI 48105-2303 | 2017-10-06 |
| Find all providers in ANN ARBOR | ||||
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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.