JITENDER KUMAR JAIN (NPI# 1598784100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598784100 |
| Entity Type | Individual |
| Full Name | JITENDER KUMAR JAIN |
| Credential | M.D. |
| Practice Address |
25959 Kelly Rd Ste A Roseville MI 48066-4991 |
| Practice Telephone | 5867749010 |
| Practice Fax Number | 5867746758 |
| Mailing Telephone | 5867749010 |
| Mailing Fax Number | 5867746758 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-01-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
JJ033038 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 05017972 | 01 |
| MI | 2101890 | 05 | |
| MI | RAILROAD MEDICARE | 830004296 | 01 |
| MI | FEDERAL EMPLOYEE PLAN | 05017972 | 01 |
| MI | TOTAL HEALTH PLAN | 123770 | 01 |
| MI | CARE CHOICES | 137717 | 01 |
| Street Address |
25959 KELLY RD STE A |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-4991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700917291 | Roseville Medical, P.C. | Specialist | 25959 Kelly Rd, Suite A, Roseville, MI 48066-4991 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710947858 | Sivakumar Reddy | Internal Medicine | Two Medical Plaza, Ste 200, Roseville, CA 95661 | 2006-03-24 |
| 1306282868 | Radiological Associates of Sacramento Medical Group | Internal Medicine | 1680 E Roseville Pkwy, Suite 100, Roseville, CA 95661-3988 | 2013-05-10 |
| 1891978391 | Fatih M. Uckun | Internal Medicine | 2848 Patton Rd, Roseville, MN 55113-1100 | 2007-12-07 |
| 1518166677 | Kristin Nicole Arreola | Internal Medicine | 2 Medical Plaza Dr, Suite 200, Roseville, CA 95661-3043 | 2007-07-17 |
| 1952434797 | Consultants Medical Group | Internal Medicine | Two Medical Plaza, Ste 200, Roseville, CA 95661 | 2007-03-13 |
| 1831263433 | Julie L. Hersch | Internal Medicine | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-17 |
| 1740354349 | Li F. Hu | Internal Medicine | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-17 |
| 1164594909 | Frank Tze Hsieh | Internal Medicine | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-15 |
| 1912079724 | Philip D. Sardar | Internal Medicine | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-15 |
| 1366520041 | Sidney M. Crain | Internal Medicine | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| Find all providers in ROSEVILLE | ||||
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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.