JAN MEDICAL INC (NPI# 1992285118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992285118 |
| Entity Type | Organization |
| Organization Name | JAN MEDICAL INC |
| Practice Address |
45686 S Lake Dr Novi MI 48377-3919 |
| Practice Telephone | 2489215593 |
| Mailing Telephone | 2489215593 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2019-06-27 |
| Authorized Official Name | DR. LOREN CHUDLER (CEO) |
| Authorized Official Telephone | 2489215593 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101012791 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1164477816 | 05 |
| Street Address |
45686 S LAKE DR |
| City | NOVI |
| State | MI |
| Zip Code | 48377-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982103362 | Primecare On Wixom Pllc | Family Medicine | 27250 Wixom Rd Ste A, Novi, MI 48374-1116 | 2018-02-12 |
| 1326427105 | Paolo Nino Balmaseda | Family Medicine | 26750 Providence Pkwy Ste 210, Novi, MI 48374-1212 | 2015-05-26 |
| 1477811925 | Fallon Kapatais | Family Medicine | 40015 Grand River Ave Ste 100, Novi, MI 48375-2160 | 2012-05-02 |
| 1265727556 | Nicholas Jay Moore | Family Medicine | 26850 Providence Pkwy Ste 260, Novi, MI 48374-1256 | 2011-06-14 |
| 1023291390 | P & A of Farmington Hills, PC | Family Medicine | 44150 W 12 Mile Rd, Ste 100, Novi, MI 48377 | 2007-12-10 |
| 1962606350 | Progressive Medicine Pllc | Family Medicine | 47689 Aberdeen Dr, Novi, MI 48374-3690 | 2007-06-12 |
| 1235281916 | Primecare of Novi Pllc | Family Medicine | 39555 West Ten Mile Rd, Suite 302, Novi, MI 48375-2950 | 2007-01-16 |
| 1700942133 | Personal Care Physician Pllc | Family Medicine | 26179 Novi Rd, Novi, MI 48375-1140 | 2006-12-29 |
| 1679647200 | Robert Raja Zaid | Family Medicine | 39555 W 10 Mile Rd Ste 302, Novi, MI 48375-2950 | 2006-11-17 |
| 1437168234 | Deanna Susan Master | Family Medicine | 24110 Meadowbrook Rd, Suite #100, Novi, MI 48375-3459 | 2006-08-08 |
| Find all providers in NOVI | ||||
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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.