JENNIFER SUE NIMTZ


Address: 3031 W Grand Blvd, Suite 450, Detroit, MI 48202-3046
Phone: 3133465235

JENNIFER SUE NIMTZ (NPI# 1578917381) 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) 1578917381
Entity Type Individual
Full Name JENNIFER SUE NIMTZ
Credential D.O.
Practice Address 3031 W Grand Blvd
Suite 450
Detroit
MI 48202-3046
Mailing Address 24146 Meadowbridge Dr
Clinton Township
MI 48035-3008
Practice Telephone 3133465235
Mailing Telephone 9899807652
Enumeration Date 2016-04-18
Last Update Date 2019-06-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 5101022645 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 3031 W GRAND BLVD
SUITE 450
City DETROIT
State MI
Zip Code 48202-3046

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679562193 Carin Yates Genetic Counselor, MS 3031 W Grand Blvd, Detroit, MI 48202-3046 2005-10-18
1548899016 Patrick Harding Oconnell Psychiatry & Neurology 3031 W Grand Blvd, Detroit, MI 48202-3046 2020-04-06
1841851730 Firas Shalabi Student in an Organized Health Care Education/Training Program 3031 W Grand Blvd, Detroit, MI 48202-3046 2019-06-22
1659938298 Brenda Jones Social Worker 3031 W Grand Blvd, Detroit, MI 48202-3046 2019-05-20
1336703065 Tyler X.r. Wester Student in an Organized Health Care Education/Training Program 3031 W Grand Blvd, Suite 450, Detroit, MI 48202-3026 2019-04-29
1699267658 Alyxandra Marie Gohlke Genetic Counselor, MS 3031 W Grand Blvd, Detroit, MI 48202-3046 2018-06-05
1033643721 Jasmine Tremell Gray Student in an Organized Health Care Education/Training Program 3031 W Grand Blvd, Suite 450, Detroit, MI 48202-3046 2017-04-19
1508390576 Zakiya Stallings Internal Medicine 3031 W Grand Blvd, Suite 450, Detroit, MI 48202-3046 2017-04-17
1710411954 Akashdeep Kaur Dhaliwal Student in an Organized Health Care Education/Training Program 3031 W Grand Blvd, Suite 450, Detroit, MI 48202-3046 2017-04-14
1447784541 Kaushik Venkat Govindaraju Student in an Organized Health Care Education/Training Program 3031 W Grand Blvd, Suite 450, Detroit, MI 48202-3046 2017-04-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710584602 Andrea Irene Martin Audiologist 2799 E Grand Blvd, Detroit, MI 48202 2020-10-05
1174132583 Odei Alayyas Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 2020-07-31
1912529801 Aroob Nabil Nimer Sweidan Student in an Organized Health Care Education/Training Program 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 2020-05-13
1306485636 Katie Burlen-davis Registered Nurse 9045 Woodward Ave, Detroit, MI 48202 2020-01-03
1407401250 Santhalakshmi Angappan Student in an Organized Health Care Education/Training Program Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 2019-08-08
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
1467913756 Andrew Michael Schock Emergency Medicine Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 2019-03-28
1700363892 Zaid Al-saheli Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 2018-07-23
1932690096 Yusuf Naser Alalwan Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 2018-05-24
1568952729 Kelvin Sellers Massage Therapist 832 Seward, Detriot, MI 48202 2018-05-14
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730708058 Xuexin Lu Pediatrics 22101 Moross Rd Ste 80, Detroit, MI 48236-2148 2020-04-16
1235636408 Healthy Kids Plc Pediatrics 18060 Conant St, Detroit, MI 48234-1628 2018-04-12
1841720539 Krystal Yee-yun Chan-zlatopolsky Pediatrics 22201 Moross Rd Ste 80, Detroit, MI 48236-2166 2017-06-14
1508220062 Marlisa Rose Wolf Pediatrics Children's Hospital of Mi - 3rd Fl, 3901 Beaubien, Detroit, MI 48201 2016-04-11
1821418419 Christina Louise Santia Pediatrics Children's Hospital of Mi/ Spec Ctr, 3950 Beaubien Garden Level, Detroit, MI 48201 2014-04-22
1033537089 Kimberly Lynn Herrmann Pediatrics Children's Hospital of Mi / Spec Ctr, 3950 Beaubien, Detroit, MI 48201 2014-04-06
1932540622 Ramya Deepthi Billa Pediatrics 3901 Beaubien - 3rd Fl, Children's Hospital of Mi, Detroit, MI 48201 2013-07-10
1942646658 Silpa Nadella Pediatrics 3950 Beaubien St Fl 4, Detroit, MI 48201-2166 2013-05-21
1770826984 Lonetta L Postell Pediatrics 3031 W. Grand Blvd, 800, Detroit, MI 48202-2119 2013-04-05
1578806964 Scott C Grant Pediatrics Chm/specialty Center, 3950 Beaubien 1st Fl, Detroit, MI 48201 2013-04-03
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Competitor

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City DETROIT
Zip Code 48202

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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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