JACKSON GASTROENTEROLOGY CENTER, LLC


Address: 4400 Ann Arbor Road, Jackson, MI 49202
Phone: 5179900602

JACKSON GASTROENTEROLOGY CENTER, LLC (NPI# 1265618904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265618904
Entity Type Organization
Organization Name JACKSON GASTROENTEROLOGY CENTER, LLC
Other Organization Name EAST JACKSON CENTER
Practice Address 4400 Ann Arbor Road
Jackson
MI 49202
Practice Telephone 5179900602
Mailing Telephone 5179900602
Enumeration Date 2008-01-11
Last Update Date 2008-10-20
Authorized Official Name MR. RODNEY LUNN (MEMBER)
Authorized Official Telephone 6154250818
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
MI Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MI FACILITY NUMBER 38-6814 01

Other Provider/Organization Names

Other Name Type Code
East Jackson Center Doing Business As Name - Organization

Office Location

Street Address 4400 ANN ARBOR ROAD
City JACKSON
State MI
Zip Code 49202

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821590316 Leslie Dominique Barroso Social Worker 834 Kennedy St, Jackson, MI 49202 2018-03-01
1073011136 Nicole Szarek Social Worker 1200 N. West Ave, Jackson, MI 49202 2018-01-24
1598299430 Cedric Griffin Behavior Technician 950 W. Monroe St, Jackson, MI 49202 2017-04-18
1285081612 Patricia Decker Psychologist 950 West Monroe, Suite 500, Jackson, MI 49202 2016-05-16
1619344314 Erica Ries Social Worker 1200 N West Ave Ste 800, Jackson, MI 49202 2015-08-28
1184007189 Sarah Johnson Behavioral Analyst 818 Winifred St, Jackson, MI 49202 2015-07-08
1871971697 Scott A Watterson Dds, Pllc Dentist 1030 Laurence Ave, Suite 3, Jackson, MI 49202 2015-05-13
1043608680 Brenda Beverly Counselor 1190 West, 1190 West Suite 812, Jackson, MI 49202 2015-01-06
1295091593 Natalie Ann Kember Social Worker 1206 Clinton, Jackson, MI 49202 2012-04-11
1912218728 Tina Marie Pierce Respite Care 225 N Wisner St, Jakson, MI 49202 2010-06-25
Find all providers in zip 49202

Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821336371 Eyecare Surgery Center, LLC Clinic/Center 1501 Lakeland Dr Ste 101, Jackson, MS 39216-4839 2013-01-17
1912099805 Sapheneia Medical Minimally Invasive Therapy Institute Clinic/Center 932 N State St, Jackson, MS 39202-2613 2006-09-28
1588764989 W. A. Foote Memorial Hospital, Inc. Clinic/Center 1125 E Michigan Ave, Jackson, MI 49201-1801 2006-09-25
1225096498 Amador Surgery Center Clinic/Center 223 Clinton Road, Suite 204, Jackson, CA 95642-2680 2006-05-03
1558327213 Surgicare of Jackson Ltd Clinic/Center 760 Lakeland Dr, Jackson, MS 39216-4610 2006-04-21
1588631832 Surgical Services of Michigan, LLC Clinic/Center 2775 Blake Road, Jackson, MI 49201-8838 2006-03-07
1255303517 St Dominic Ambulatory Surgery Center L L C Clinic/Center 970 Lakeland Dr, Suite 15, Jackson, MS 39216-4601 2006-02-02
1689651481 Teton Outpatient Services LLC Clinic/Center 150 Buffalo Way, Jackson, WY 83001-2530 2005-12-22
1710591060 Midsouth Interventional Pain Institute LLC Clinic/Center 2016 Greystone Sq, Jackson, TN 38305-3575 2020-09-03
1386149979 W. A. Foote Memorial Hospital, Inc Clinic/Center 205 S East Ave, Jackson, MI 49201-2413 2018-03-27
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Competitor

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City JACKSON
Zip Code 49202

Improve Information

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Dataset Information

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.

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