DR. DONOVAN BLACKWOOD JEFFCOAT (NPI# 1952783888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952783888 |
| Entity Type | Individual |
| Full Name | DR. DONOVAN BLACKWOOD JEFFCOAT |
| Credential | D.O. |
| Practice Address |
1150 E Sherman Blvd Suite 2400 Muskegon MI 49444 |
| Mailing Address |
1675 Leahy St Suite 315a Muskegon MI 49442-5500 |
| Practice Telephone | 2317284601 |
| Practice Fax Number | 2317284783 |
| Mailing Telephone | 2317275247 |
| Mailing Fax Number | 2317275248 |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2018-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 5101021948 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 5101021948 | MI | Student, Health Care |
| Street Address |
1150 E SHERMAN BLVD SUITE 2400 |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548247323 | Daniel Caldwell | Physician Assistant | 1150 E Sherman Blvd, Suite 1125, Muskegon, MI 49444-1871 | 2005-12-22 |
| 1942842000 | Kristina Johnson | Social Worker | 1150 E Sherman Blvd, Muskegon, MI 49444-1871 | 2019-10-10 |
| 1548763915 | Lyndsay April Randall | Nurse Practitioner | 1150 E Sherman Blvd, Muskegon, MI 49444-1871 | 2018-03-13 |
| 1083149173 | Madeline Janelle Ginn-terpstra | Neuromusculoskeletal Medicine & OMM | 1150 E Sherman Blvd, Suite 2400, Muskegon, MI 49444-1871 | 2017-04-26 |
| 1841607256 | Jirayu J Kukiratirat | Student in an Organized Health Care Education/Training Program | 1150 E Sherman Blvd, Suite 2400, Muskegon, MI 49444-1871 | 2014-07-17 |
| 1003257221 | West Michigan Heart | Internal Medicine | 1150 E Sherman Blvd, Muskegon, MI 49444-1871 | 2013-07-16 |
| 1831442094 | West Michigan Eye & Laser | Ophthalmology | 1150 E Sherman Blvd, Suite 1500, Muskegon, MI 49444-1871 | 2012-10-24 |
| 1265724603 | Benjamin J Visger | Neuromusculoskeletal Medicine & OMM | 1150 E Sherman Blvd, Suite 2400, Muskegon, MI 49444-1871 | 2011-05-04 |
| 1437464914 | Oluwatoyin Thomas | Internal Medicine | 1150 E Sherman Blvd, Suite 1175, Muskegon, MI 49444-1871 | 2010-08-09 |
| 1336453216 | Elizabeth Ann Westgate | Physician Assistant | 1150 E Sherman Blvd, Suite 1100, Muskegon, MI 49444-1871 | 2010-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912490905 | Mark David Braden Jr. | Neuromusculoskeletal Medicine & OMM | 1150 E Sherman Blvd Ste 2400, Muskegon, MI 49444-1886 | 2018-06-13 |
| 1083149173 | Madeline Janelle Ginn-terpstra | Neuromusculoskeletal Medicine & OMM | 1150 E Sherman Blvd, Suite 2400, Muskegon, MI 49444-1871 | 2017-04-26 |
| 1902244833 | Jenna M Heinert | Neuromusculoskeletal Medicine & OMM | 1150 E Sherman Blvd Ste 2400, Muskegon, MI 49444-1886 | 2013-06-13 |
| 1265724603 | Benjamin J Visger | Neuromusculoskeletal Medicine & OMM | 1150 E Sherman Blvd, Suite 2400, Muskegon, MI 49444-1871 | 2011-05-04 |
| 1396944245 | Paul Stephen Dyball | Neuromusculoskeletal Medicine & OMM | 1150 E Sherman Blvd, Suite 2400, Muskegon, MI 49444-1871 | 2007-07-12 |
| 1699876284 | Angela A Hoogterp | Neuromusculoskeletal Medicine & OMM | 1150 E Sherman Blvd, Suite 2400, Muskegon, MI 49444-1871 | 2006-09-26 |
| 1982615357 | Amy L Dean | Neuromusculoskeletal Medicine & OMM | 1150 E Sherman Blvd Ste 2400, Muskegon, MI 49444-1886 | 2006-08-11 |
| 1366417024 | Richard Huff | Neuromusculoskeletal Medicine & OMM | 1150 E Sherman Blvd, Suite 2400, Muskegon, MI 49444-1871 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1649634411 | Benjamin J Visger Do Pllc | Neuromusculoskeletal Medicine & OMM | 1865 Lawnel Ave, Norton Shores, MI 49441-3742 | 2016-04-07 |
| 1639583206 | John Morasso | Neuromusculoskeletal Medicine & OMM | 6525 West Maple Rd., Ste 101 E, West Bloomfield, MI 48322-4930 | 2014-06-11 |
| 1477845618 | Bashar Abou-rass | Neuromusculoskeletal Medicine & OMM | 4673 Ravine Dr, Bloomfield, MI 48301-3640 | 2011-05-06 |
| 1144559642 | Stephen I. Goldman, D.o., P.C. | Neuromusculoskeletal Medicine & OMM | 23995 Novi Rd, Suite C103, Novi, MI 48375-5439 | 2009-12-11 |
| 1891964292 | Adam Gregg Feinstein | Neuromusculoskeletal Medicine & OMM | 36397 Harper Ave, Clinton Township, MI 48035 | 2008-02-29 |
| 1902005762 | Ravi David Yarid | Neuromusculoskeletal Medicine & OMM | 12 E Bacon St, Suite 120, Hillsdale, MI 49242-1616 | 2007-07-12 |
| 1477752327 | Amelia Louise Bueche | Neuromusculoskeletal Medicine & OMM | 818 Red Dr Ste 100, Traverse City, MI 49684 | 2007-07-12 |
| 1730384744 | Douglas Reed Jackson | Neuromusculoskeletal Medicine & OMM | 3211 Applewood Rd, Midland, MI 48640-2666 | 2007-06-19 |
| 1104031574 | Ronald Edmund Gren | Neuromusculoskeletal Medicine & OMM | 19500 Pierson Dr, Northville, MI 48167-2650 | 2007-05-11 |
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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.