DR. JENNIFER KRISTINE CARUSO (NPI# 1558596015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558596015 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER KRISTINE CARUSO |
| Credential | D.O. |
| Practice Address |
22255 Greenfield Rd Suite 350 Southfield MI 48075-3710 |
| Practice Telephone | 2488492710 |
| Practice Fax Number | 2488494024 |
| Mailing Telephone | 2488492710 |
| Mailing Fax Number | 2488494024 |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2016-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | OS016329 | PA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 5101018168 | MI | Allopathic & Osteopathic Physicians |
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
5101018168 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 065773500 | 05 | |
| PA | GATEWAY | 1622982 | 01 |
| PA | AMERIHEALTH CARITAS, PA - WMG - WS YORK HOSP OB/GYN | 30153192 | 01 |
| PA | AMERIHEALTH CARITAS, PA - WMG - MATERNAL FETAL MED. | 30153194 | 01 |
| PA | HIGHMARK BLUE SHIELD | 2884237 | 01 |
| PA | AMERIHEALTH CARITAS, PA - WMG - THFPC | 30152919 | 01 |
| PA | AMERIHEALTH CARITAS, PA - WMG - YWHC | 30153197 | 01 |
| PA | UPMC | 420140 | 01 |
| PA | 102804570 | 05 | |
| PA | AMERIHEALTH CARITAS, PA - YH OB TEACHING | 30152902 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447691613 | Jennifer Lynn Caruso | Speech-Language Pathologist | 846 Sw Lake Charles Cir, Port Saint Lucie, FL 34986-3418 | 2013-07-16 |
| 1285880195 | Jennifer Ann Caruso | Clinical Neuropsychologist | 35 Talcottville Rd Ste 6, Hartford Hospital Movement Disorders Center, Vernon, CT 06066-5261 | 2008-08-12 |
| 1134144280 | Jennifer Caruso | Social Worker | 10 Harbor St, C/o Jennifer Caruso, Danvers, MA 01923-3390 | 2006-07-12 |
| 1760856751 | Jennifer S Caruso | Counselor | 350 S Schmale Rd, Suite 180, Carol Stream, IL 60188-2794 | 2015-11-14 |
| 1629310123 | Jennifer Caruso | Counselor | 5755 Northpoint Pkwy, Suite 256, Alpharetta, GA 30022-1142 | 2013-03-22 |
| 1114049004 | Jennifer Lynn Fulcher Caruso | Registered Nurse | 1500 E Medical Center Dr, 1h247 University Hospital, Ann Arbor, MI 48109-5048 | 2007-04-04 |
| 1861543688 | Jennifer T Caruso | Dentist | 11279 Camino Ruiz, San Diego, CA 92126-4601 | 2007-01-16 |
| Street Address |
22255 GREENFIELD RD SUITE 350 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-3710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235136599 | William B Blessed | Obstetrics & Gynecology | 22255 Greenfield Rd, Ste 350, Southfield, MI 48075-3712 | 2005-07-01 |
| 1760006977 | Jessica Eastwood | Obstetrics & Gynecology | 22255 Greenfield Rd, Suite #352, Southfield, MI 48075 | 2020-06-03 |
| 1740826965 | Kella Hayward | Student in an Organized Health Care Education/Training Program | 22255 Greenfield Rd, Southfield, MI 48075-3710 | 2019-11-22 |
| 1659937647 | Brittley Morgan Leppien | Student in an Organized Health Care Education/Training Program | 22255 Greenfield Rd, Suite 352, Southfield, MI 48075-3710 | 2019-05-15 |
| 1821651951 | Ene Grace Morgan | Student in an Organized Health Care Education/Training Program | 22255 Greenfield Rd, Southfield, MI 48075-3710 | 2019-04-15 |
| 1386114213 | Christopher Ryan | Physical Medicine & Rehabilitation | 22255 Greenfield Rd, Southfield, MI 48075-3710 | 2018-12-04 |
| 1427550342 | Victoria Ann Kozemchak | Physical Therapist | 22255 Greenfield Rd, Southfield, MI 48075-3710 | 2018-03-07 |
| 1740789197 | Katie Weingartz | Physical Therapist | 22255 Greenfield Rd, Southfield, MI 48075-3710 | 2018-02-12 |
| 1144729054 | Shelley Adams | Physical Therapist | 22255 Greenfield Rd, Southfield, MI 48075-3710 | 2018-02-06 |
| 1316462435 | Samantha Beth Rosenbloom | Social Worker | 22255 Greenfield Rd, Southfield, MI 48075-3710 | 2017-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235136599 | William B Blessed | Obstetrics & Gynecology | 22255 Greenfield Rd, Ste 350, Southfield, MI 48075-3712 | 2005-07-01 |
| 1093918062 | David B Cotton | Obstetrics & Gynecology | 17515 W 9 Mile Rd, Suite 500, Southfield, MI 48075-4403 | 2007-06-07 |
| 1912962978 | Ascension Providence Hosptial | Obstetrics & Gynecology | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669854816 | Spectrum Health Primary Care Partners | Obstetrics & Gynecology | 4249 Parkway Place Dr Sw, Grandville, MI 49418-2679 | 2015-06-24 |
| 1588840573 | Silvio Aladjem | Obstetrics & Gynecology | 1655 W State Rd, Hastings, MI 49058-8557 | 2008-01-21 |
| 1659572329 | Erhard Herwig Marz | Obstetrics & Gynecology | 1767 S M 52, Owosso, MI 48867-9201 | 2007-05-30 |
| 1487694949 | Susan Berman | Obstetrics & Gynecology | 4201 St Antoine Ste 4e&f, University Health Center, Detroit, MI 48201 | 2006-06-06 |
| 1164469680 | Bernard Gonik | Obstetrics & Gynecology | Sinai Grace Hospital-atenatal Diagnostic Unit, 6071 W Outer Dr, Detroit, MI 48235 | 2006-06-01 |
| 1285685503 | Sara H Garmel | Obstetrics & Gynecology | 2142 Monroe St Ste 100, Dearborn, MI 48124-3057 | 2006-05-12 |
| 1619926185 | Susan J. Sherman | Obstetrics & Gynecology | 43077 Brookstone Dr, Novi, MI 48377-2714 | 2006-05-10 |
| 1083663983 | Gregory L Goyert | Obstetrics & Gynecology | 3301 W Grand St, 8th Floor, Detroit, MI 48238-2793 | 2006-05-08 |
| 1780658443 | St Joseph Mercy Hospital | Obstetrics & Gynecology | 5301 Huron River Drive, Ypsilanti, MI 48197-1051 | 2006-02-17 |
| 1861470296 | Mark E Redman | Obstetrics & Gynecology | 17400 W 13 Mile Rd, Beverly Hills, MI 48025-5439 | 2006-01-05 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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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.