JEREL NATHANIEL OWENS


Address: 1151 Taylor St, Detroit Health Center, Detroit, MI 48202-1732
Phone: 3138764216

JEREL NATHANIEL OWENS (NPI# 1841303765) 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) 1841303765
Entity Type Individual
Full Name JEREL NATHANIEL OWENS
Credential DMD
Practice Address 1151 Taylor St
Detroit Health Center
Detroit
MI 48202-1732
Mailing Address 5120 West Outer
Detroit
MI 48235
Practice Telephone 3138764216
Mailing Telephone 3133413684
Enumeration Date 2006-08-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 011444 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI CAQH 11293190 01
MI 4718431 05
MI DELTA DENTAL 88183 01

Office Location

Street Address 1151 TAYLOR ST
DETROIT HEALTH CENTER
City DETROIT
State MI
Zip Code 48202-1732

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982036828 Institute for Population Health Public Health or Welfare 1151 Taylor St, 334c, Detroit, MI 48202-1732 2013-08-02
1932444882 Anita Moncrease Internal Medicine 1151 Taylor St, Detroit, MI 48202-1732 2012-12-04
1083966220 Donna S. Beal-lloyd Nurse Practitioner 1151 Taylor St, Detroit, MI 48202-1732 2012-10-11
1366793531 Institute for Population Health Inc. Dentist 1151 Taylor St, Detroit, MI 48202-1732 2012-09-27
1285995134 Institute for Population Health Inc. Dentist 1151 Taylor St, Detroit, MI 48202-1732 2012-06-06
1285940254 Paul K Mwicharo Pharmacist 1151 Taylor St, Detroit, MI 48202-1732 2010-08-27
1760701262 City of Detroit Dentist 1151 Taylor St, 323 C, Detroit, MI 48202-1732 2010-05-24
1871819839 Zelda Ree Williams Counselor 1151 Taylor St, Detroit, MI 48202-1732 2010-04-15
1457673048 Emmily Diane Hughes Registered Nurse 1151 Taylor St, Detroit, MI 48202-1732 2010-02-23
1174770762 Lacarra Sharper Dietitian, Registered 1151 Taylor St, Room 332-c, Detroit, MI 48202-1732 2008-08-26
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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 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194354811 Lorie Ann Turner Family Medicine 1728 Sheridan St, Detroit, MI 48214-2410 2020-04-04
1134787633 Behavioral Health Professionals, Inc Family Medicine 19750 Burt Road, Detroit, MI 48219 2019-05-31
1508326687 Randi Nguyen Family Medicine 22151 Moross Rd Ste 212, Detroit, MI 48236-2177 2019-03-23
1982194338 Green Cross Medical Center PC Family Medicine 18041 Greenfield Rd, Detroit, MI 48235-3120 2018-05-11
1205339306 Conant Family Care Pllc Family Medicine 3611 Carpenter St Ste 5, Detroit, MI 48212-2784 2018-03-14
1801303086 St Mary Mercy Physician Practices Family Medicine 5555 Conner St Ste 2691, Detroit, MI 48213-3812 2018-01-09
1427408376 Raquel Orlich Family Medicine 1620 Michigan Ave Ste 125, Detroit, MI 48216-1493 2016-06-21
1295181543 Ammar Charestan Family Medicine 6071 Outer Dr W, Detroit, MI 48235 2016-05-05
1629423652 Rajni Parmar Family Medicine 6001 W Outer Dr Ste 430, Detroit, MI 48235-2626 2016-04-27
1265886733 Benjamin Abraham Family Medicine One Ford Place 2e, Henry Ford Hospital, Department of Family Medicine, Detroit, MI 48202 2016-04-20
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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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