GRACE YIN JENQ (NPI# 1790710382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790710382 |
| Entity Type | Individual |
| Full Name | GRACE YIN JENQ |
| Credential | MD |
| Practice Address |
1200 Earhart Rd Ann Arbor MI 48105-2768 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7347690177 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301109141 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
4301109141 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001397050 | 05 |
| Street Address |
1200 EARHART RD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-2768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811936768 | Glacier Hills Inc. | Skilled Nursing Facility | 1200 Earhart Rd, Ann Arbor, MI 48105-2768 | 2006-06-06 |
| 1326674730 | Rebecca Anne Syed | Occupational Therapist | 1200 Earhart Rd, Ann Arbor, MI 48105-2768 | 2020-03-17 |
| 1740811629 | Carolyn Anne Sasatani | Dietitian, Registered | 1200 Earhart Rd, Ann Arbor, MI 48105-2768 | 2020-01-30 |
| 1275183048 | Kelli Mcgee | Physical Therapist | 1200 Earhart Rd, Ann Arbor, MI 48105-2768 | 2019-09-13 |
| 1326516980 | Caroline Marie Shanks | Occupational Therapist | 1200 Earhart Rd, Ann Arbor, MI 48105-2768 | 2018-11-12 |
| 1285115030 | Diane Lozada | Occupational Therapist | 1200 Earhart Rd, Ann Arbor, MI 48105-2768 | 2018-08-28 |
| 1003397431 | Linda Kathleen Arnold | Occupational Therapist | 1200 Earhart Rd, Ann Arbor, MI 48105 | 2018-08-23 |
| 1255811501 | Carol Homco | Occupational Therapist | 1200 Earhart Rd, Ann Arbor, MI 48105-2768 | 2018-08-16 |
| 1801376173 | Rachel Eileen Jowett | Occupational Therapist | 1200 Earhart Rd, Ann Arbor, MI 48105-2768 | 2018-08-16 |
| 1083192512 | Kristie J Brogan | Occupational Therapist | 1200 Earhart Rd, Ann Arbor, MI 48105-2768 | 2018-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1588138242 | Samantha Olszewski | Internal Medicine | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2019-01-16 |
| 1821430356 | Jawid Darvesh | Internal Medicine | 4260 Plymouth Rd, B1-313, Ann Arbor, MI 48109-2700 | 2013-07-25 |
| 1598907529 | Melanie E Zuo | Internal Medicine | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2009-04-06 |
| 1225150501 | Mary Patricia Wisely | Internal Medicine | 2366 Oak Valley Dr, Ann Arbor, MI 48103-8944 | 2007-04-06 |
| 1528198116 | Salas Ulhas Sabnis | Internal Medicine | 5361 Mcauley Drive, Ann Arbor, MI 48106 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801371315 | Matrix Medical Pllc | Internal Medicine | 52611 Blueridge Dr, Shelby Twp, MI 48316-2977 | 2018-10-01 |
| 1407364821 | Chesaning Comfort Care | Internal Medicine | 1800 W Brady Rd, Chesaning, MI 48616 | 2018-01-19 |
| 1992252191 | Vitality Home Health Services,inc. | Internal Medicine | 917 W Milham Ave, Portage, MI 49024-1248 | 2016-09-06 |
| 1427419662 | Shoaib A Rasheed | Internal Medicine | 250 Mcdougall St, Detroit, MI 48207-4291 | 2016-03-16 |
| 1710226477 | Nancy Couch | Internal Medicine | 791 Bradburn Ct, Northville, MI 48167-1027 | 2013-01-31 |
| 1639425879 | Anhkiet L Tran | Internal Medicine | 29736 Orion Ct, Farmington Hills, MI 48334-4114 | 2012-07-25 |
| 1700152014 | Nicholas Joseph | Internal Medicine | 24463 W 10 Mile Rd, Pace Southeast Michigan, Southfield, MI 48033-2931 | 2012-03-30 |
| 1689949034 | Drs Housecalls PC | Internal Medicine | 298 S. Old Woodward, Birminham, MI 48009 | 2012-03-19 |
| 1699055269 | Mobilized Docs of Michigan LLC | Internal Medicine | 23943 Industrial Park Dr, Farmington Hills, MI 48335-2862 | 2011-08-26 |
| 1780986018 | Spectrum Health Primary Care Partners | Internal Medicine | 727 Apple Ave, Holland, MI 49423-5405 | 2010-11-18 |
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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.