DR. JENNIFER MICHELLE DRISCOLL (NPI# 1609804715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609804715 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER MICHELLE DRISCOLL |
| Credential | M.D. |
| Practice Address |
4613 W Main St Suite A Kalamazoo MI 49006-2645 |
| Practice Telephone | 2694888672 |
| Practice Fax Number | 2694888673 |
| Mailing Telephone | 2694888672 |
| Mailing Fax Number | 2694888673 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2014-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301079562 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4301079562 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS GRP PIN | 110C913020 | 01 | |
| GREAT LAKES HLTH PLN | 157805 | 01 | |
| BCBS IND PIN | 1103912432 | 01 | |
| MI | 489567910 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093181919 | Jennifer Driscoll | Social Worker | 319 E Ridgewood Ave, Ridgewood, NJ 07450-3301 | 2015-08-14 |
| 1295022853 | Jennifer Driscoll | Physical Therapist | 7605 Trailwind Dr, Montgomery, OH 45242-5952 | 2011-07-05 |
| 1831721638 | Jennifer Driscoll | Counselor | 85 E Newton St, Boston, MA 02118-2389 | 2020-02-10 |
| 1497260491 | Jennifer Beth Driscoll | Nurse Practitioner | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2017-12-12 |
| 1629400353 | Jennifer Driscoll | Social Worker | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2013-08-05 |
| 1295934107 | Jennifer Driscoll | Marriage & Family Therapist | 564 Main St, Waltham, MA 02452-5516 | 2007-07-12 |
| 1144258294 | Jennifer Driscoll | Physical Therapist | 2500 W William Cannon Dr Ste 409, Austin, TX 78745-5290 | 2006-06-29 |
| 1457321994 | Jennifer Culbertson Driscoll | Family Medicine | 1717 N E St Ste 222, Pensacola, FL 32501-6339 | 2006-01-26 |
| Street Address |
4613 W MAIN ST SUITE A |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49006-2645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880200 | Joseph Williams | Physician Assistant | 4613 W Main St, Ste. B, Kalamazoo, MI 49006-2645 | 2005-06-13 |
| 1629697818 | Sheneeka Skinner | Registered Nurse | 4613 W Main St, Kalamazoo, MI 49006-2645 | 2020-04-08 |
| 1588928642 | Geneva Alincastre Sagun | Internal Medicine | 4613 W Main St, Suite A, Kalamazoo, MI 49006-2645 | 2012-07-03 |
| 1093936999 | Healthcare Midwest PC | Pediatrics | 4613 W Main St, Suite A, Kalamazoo, MI 49006-2645 | 2007-05-01 |
| 1841371408 | Anitha Azhagiri | Physical Therapist | 4613 W Main St, Suite C, Kalamazoo, MI 49006-2645 | 2006-10-18 |
| 1548371339 | Jessica Wilson | Physician Assistant | 4613 W Main St, Suite A, Kalamazoo, MI 49006-2645 | 2006-08-31 |
| 1568491132 | Rebecca Lucile Schreiner | Internal Medicine | 4613 W Main St, Suite A, Kalamazoo, MI 49006-2645 | 2006-07-03 |
| 1356379374 | Healthcare Midwest PC | Physical Therapist | 4613 W Main St, Suite C, Kalamazoo, MI 49006-2645 | 2006-06-29 |
| 1972546372 | Derek J Babin | Physical Therapist | 4613 W Main St, Suite C, Kalamazoo, MI 49006-2645 | 2006-06-14 |
| 1104866573 | Marc William Hinze | Physical Therapist | 4613 W Main St, Suite C, Kalamazoo, MI 49006-2645 | 2006-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013455989 | Lauren Gentry | Counselor | 213 S. Kendall Apt 201, Kalamazoo, MI 49006 | 2017-02-10 |
| 1588055768 | Rashida Al-gharib | Counselor | 10107 Boswell Lane, Kalamazoo, MI 49006 | 2015-02-10 |
| 1174913420 | Teesha Lynn Bancroft | Specialist | 329 S Sage St, Kalamazoo, MI 49006 | 2015-01-26 |
| 1801293493 | Ayaz Jaffer | Pharmacist | 5100 Century Avenue, Kalamazoo, MI 49006 | 2014-11-25 |
| 1609207695 | Karen Irene Zantjer | Occupational Therapist | 2575 N Drake, Tendercare Westwood, Kalamazoo, MI 49006 | 2013-12-02 |
| 1629313614 | Jessica Korneder | Behavioral Analyst | 3621 Kenbrooke Court, Kalamazoo, MI 49006 | 2012-12-03 |
| 1508101635 | Gerald Lamont Brooks | Counselor | 4017 W. Main Suite 100, Kalamazoo, MI 49006 | 2012-11-29 |
| 1932356979 | Joy Ann Mcgrath | Occupational Therapist | 1400 North Drake Road, Friendship Village of Kalamazoo, Kalamazoo, MI 49006 | 2008-08-21 |
| 1306901103 | Frederick G Greaves | Psychologist | 4031 W Main, Kalamazoo, MI 49006 | 2006-12-22 |
| 1629162300 | John F Hemmer | Social Worker | 1530 Nichols Road, Kalamazoo, MI 49006 | 2006-10-03 |
| Find all providers in zip 49006 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582372 | Home Visiting Doctors Association P.C. | Internal Medicine | 251 N Rose St Ste 218, Kalamazoo, MI 49007-3860 | 2019-11-14 |
| 1669022307 | Ivana Nyirenda | Internal Medicine | 109 Candlewyck Dr Apt 621, Kalamazoo, MI 49001-5435 | 2019-09-15 |
| 1477946184 | Christopher Brackshaw | Internal Medicine | 601 John St., Box Number 74, Kalamazoo, MI 49007 | 2015-03-05 |
| 1043639933 | Andrew Heisler | Internal Medicine | 601 John St Ste M-030, Kalamazoo, MI 49007-5341 | 2014-04-08 |
| 1376983205 | Christopher Foster Hanzaker | Internal Medicine | 601 John St Ste M-170a, Kalamazoo, MI 49007 | 2013-06-25 |
| 1679919724 | Ryan Daryl Melvin | Internal Medicine | 601 John St Ste 100, Kalamazoo, MI 49007 | 2013-05-16 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1154473635 | Venu Gourineni | Internal Medicine | 1722 Shaffer St Ste 1, Kalamazoo, MI 49048-1633 | 2007-01-17 |
| 1356436976 | Branko Grinfeld | Internal Medicine | 5943 Stadium Dr., Kalamazoo, MI 49009 | 2006-10-03 |
| 1962596502 | Rockelle Donishia Rogers | Internal Medicine | 117 W Paterson Street, Kalamazoo, MI 49007 | 2006-10-03 |
| Find all providers in KALAMAZOO | ||||
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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.