JOANNE KINGSLEY MD PLLC (NPI# 1427136472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427136472 |
| Entity Type | Organization |
| Organization Name | JOANNE KINGSLEY MD PLLC |
| Practice Address |
1931 Horton Rd Suite 8 Jackson MI 49203-5594 |
| Practice Telephone | 5177827510 |
| Practice Fax Number | 5177827520 |
| Mailing Telephone | 5177827510 |
| Mailing Fax Number | 5177827520 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-07-24 |
| Authorized Official Name | JOANNE RUTH KINGSLEY (PRESIDENT/OWNER) |
| Authorized Official Telephone | 5177964775 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PHP PROVIDER NUMBER | 0720045 | 01 |
| MI | 104778547 | 05 | |
| MI | BCBS PROVIDER NUMBER | 1603811241 | 01 |
| Street Address |
1931 HORTON RD SUITE 8 |
| City | JACKSON |
| State | MI |
| Zip Code | 49203-5594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104858778 | Constance Elizabeth Smith | Dentist | 1931 Horton Rd, Suite #14, Jackson, MI 49203-5594 | 2006-07-06 |
| 1851438535 | Barry S Collier | Dentist | 1931 Horton Rd, Suite #14, Jackson, MI 49203-5594 | 2007-01-31 |
| 1336217496 | Louis Eldean White | Podiatrist | 1931 Horton Rd, Suite 10, Jackson, MI 49203-5594 | 2006-11-30 |
| 1497833446 | Joanne Ruth Kingsley | Obstetrics & Gynecology | 1931 Horton Rd, Suite 8, Jackson, MI 49203-5594 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760900120 | Cynthia A Rider Dmd Pllc | Oral & Maxillofacial Surgery | 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 | 2017-09-06 |
| 1407224280 | Lucinda Gail Taggart | Licensed Practical Nurse | 1515 Greenwood Ave., Jackson, MI 49203 | 2015-09-10 |
| 1134514045 | Christopher Dauterman | Registered Nurse | 1320 East Mcdevitt, Jackson, MI 49203 | 2015-03-30 |
| 1710386826 | Steven Andrew Edwards | Social Worker | 505 Hickory Court, #2d, Jackson, MI 49203 | 2014-08-14 |
| 1861800666 | Michigan Continuum Care Pllc | Internal Medicine | 1310 Greenwood Ave., Jackson, MI 49203 | 2014-07-25 |
| 1497014831 | Barbara Cliffe-miller | Physical Therapist | 3510 Page Ave, Jackson, MI 49203 | 2012-05-04 |
| 1871822718 | Sharon Ann Arendsen | Respite Care | 4043 Clarkway Rd, Jackson, MI 49203 | 2009-12-23 |
| 1669700456 | Teresa Lynn Cox | Technician, Other | 3884 Franklin Rd., Jackson, MI 49203 | 2009-12-07 |
| 1942537097 | Stacy Marie Chinevere I | Counselor | 326 Johnson St, Jackson, MI 49203 | 2009-11-11 |
| 1366672370 | Sarah Elizabeth Hazlett | Counselor | 1522joy Avenue, Jackson, MI 49203 | 2009-07-24 |
| Find all providers in zip 49203 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982961728 | Laura Rebecca Daily | Obstetrics & Gynecology | 501 Marshall St Ste G07, Jackson, MS 39202-1651 | 2012-04-18 |
| 1992828503 | Ann M Fenn | Obstetrics & Gynecology | 62 Redmond St, Jackson, WY 83002 | 2007-04-09 |
| 1093815474 | Cecil Douglas Odom | Obstetrics & Gynecology | 1020 River Oaks Drive, Ste 310, Jackson, MS 39232 | 2006-09-25 |
| 1033104070 | Molly Rheney | Obstetrics & Gynecology | 244 Coatsland Dr, Jackson, TN 38301-3948 | 2005-09-15 |
| 1912174921 | Arthur R Vendola Md PC | Obstetrics & Gynecology | 1100 E Michigan Ave, Suite 202, Jackson, MI 49201-1847 | 2008-05-09 |
| 1679742951 | Rachel F Clay | Obstetrics & Gynecology | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2008-02-21 |
| 1114134814 | Jackson Womens Care | Obstetrics & Gynecology | 540 Jett Dr, Jackson, KY 41339-9622 | 2007-05-16 |
| 1497833446 | Joanne Ruth Kingsley | Obstetrics & Gynecology | 1931 Horton Rd, Suite 8, Jackson, MI 49203-5594 | 2006-11-01 |
| 1790886133 | Beverly Ann Mcmillan | Obstetrics & Gynecology | 1020 River Oaks Dr, Suite 320, Jackson, MS 39232-9500 | 2006-09-26 |
| 1619981107 | Carl M Reddix | Obstetrics & Gynecology | 5903 Ridgewood Road, Suite 310, Reddix Medical Group, Jackson, MS 39211-3702 | 2006-07-28 |
| Find all providers in JACKSON | ||||
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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.