PAUL H ERNEST


Address: 1116 W Ganson St, Jackson, MI 49202-4240
Phone: 5177829436

PAUL H ERNEST (NPI# 1508861659) 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) 1508861659
Entity Type Individual
Full Name PAUL H ERNEST
Credential MD
Practice Address 1116 W Ganson St
Jackson
MI 49202-4240
Mailing Address 850 W North St Ste 104
Jackson
MI 49202-3196
Practice Telephone 5177829436
Practice Fax Number 5177825166
Mailing Telephone 5178413022
Mailing Fax Number 5178170144
Enumeration Date 2005-06-16
Last Update Date 2018-09-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 4301034151 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBSM 180C846310 01
MI BCBSM 180F373640 01
MI BCBSM 180H149970 01
MI 3037757 05
MI 3229602 05
RAILROAD MEDICARE 180019352 01
MI 3286304 05

Office Location

Street Address 1116 W GANSON ST
City JACKSON
State MI
Zip Code 49202-4240

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629073036 Kevin Lavery Ophthalmology 1116 W Ganson St, Jackson, MI 49202-4240 2005-06-14
1336766153 Abigail Maynard Optometrist 1116 W Ganson St, Jackson, MI 49202-4240 2020-06-27
1881101582 Joshua R Halm Optometrist 1116 W Ganson St, Jackson, MI 49202-4240 2018-01-03
1215299367 Kevin Benjamin Vandenbosch Optometrist 1116 W Ganson St, Jackson, MI 49202-4240 2012-06-14
1922360650 Tiffany Rose Humes Optometrist 1116 W Ganson St, Jackson, MI 49202-4240 2012-06-08
1245590868 Mahmoud H El-yassir Ophthalmology 1116 W Ganson St, Jackson, MI 49202-4240 2012-05-17
1811204571 Lindsey Wynkoop Optometrist 1116 W Ganson St, Jackson, MI 49202-4240 2010-09-01
1659421253 Angela M Cumming Optometrist 1116 W Ganson St, Jackson, MI 49202-4240 2007-01-12
1922069939 Sujata Purohit Ophthalmology 1116 W Ganson St, Jackson, MI 49202-4240 2006-03-29
1023006327 John P Veith Optometrist 1116 W Ganson St, Jackson, MI 49202-4240 2005-10-11
Find all providers in the same location

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 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639532468 Lee Finley Jones Ophthalmology 1501 Lakeland Dr Ste 100, Jackson, MS 39216-4869 2016-03-30
1861777161 Parkside Eye Clinic P.C. Ophthalmology 2108 Fourth Street, Jackson, MI 49203-4518 2011-10-18
1043514607 Jeevak Lal Ophthalmology 5887 N Rickfield Rd, Jackson, MI 49201-8314 2010-12-22
1447568241 Laura L Dipuma Ophthalmology 2027 Greystone Sq, Jackson, TN 38305-3576 2010-09-15
1477879062 James Arnold Luebbers Ophthalmology 687 East Kelly Ave., Bx 3797, Jackson, WY 83001-3797 2010-04-08
1366624801 Premier Eye Care, Pllc Ophthalmology 30 Howell Ln, Jackson, KY 41339-8657 2007-11-27
1932224748 Eyecare Professionals Pa Ophthalmology 1501 Lakeland Drive, Suite 100, Jackson, MS 39216-4848 2007-03-20
1053410126 Ophthalmic Plastic Surgery Specialists Pllc Ophthalmology 1421 North State St, Ste 304, Jackson, MS 39202 2006-09-22
1114020906 James Alvin Bruce Jr. Ophthalmology 2500 Lakeland Dr, Ste A, Jackson, MS 39232 2006-09-06
1639272693 Charles Gerard Sherwood Ophthalmology 1500 Woodrow Wilson Ave, G. V. 'sonny' Montgomery Va Medical Center, Jackson, MS 39216 2006-09-06
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 49202

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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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