DR. MARTIN D JENNINGS (NPI# 1902906456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902906456 |
| Entity Type | Individual |
| Full Name | DR. MARTIN D JENNINGS |
| Credential | DO |
| Practice Address |
10256 N Whiteville Rd Clare MI 48617-9319 |
| Practice Telephone | 9893867982 |
| Practice Fax Number | 9893864232 |
| Mailing Telephone | 9893867982 |
| Mailing Fax Number | 9893864232 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2009-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 5101007488 | MI | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
5101007488 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1417309 | 05 |
| Street Address |
10256 N WHITEVILLE RD |
| City | CLARE |
| State | MI |
| Zip Code | 48617-9319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386878031 | Farwell Family Medicine Clinic PC | Family Medicine | 10256 N Whiteville Rd, Clare, MI 48617-9319 | 2009-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538598826 | Katrina Carrigan | Occupational Therapy Assistant | 600 Sw 4th Street, Clare, MI 48617 | 2013-11-06 |
| 1891075073 | Amy Ellen Weber | Nurse Practitioner | 703 Mcewan St., Midmichigan Medical Center, Clare, MI 48617 | 2011-08-19 |
| 1053615708 | Dale J Moser | Eyewear Supplier (Equipment, not the service) | 1520 N Mcewan St, Clare, MI 48617 | 2011-01-10 |
| 1063571719 | Alpha Chiropractic Clinic Inc | Chiropractor | 1424 N Mcewan Street, Clare, MI 48617 | 2006-12-08 |
| 1245324888 | Paula L Myers | Occupational Therapist | 4139 E Coleman Rd, Clare, MI 48617 | 2006-10-03 |
| 1629023403 | Russell Glyn Rader | Nurse Anesthetist, Certified Registered | 703 Mcewan, Clare, MI 48617 | 2006-05-23 |
| 1659330702 | Trisha Anne Mcmillan | Physical Therapist | 107 Schoolcrest, Clare, MI 48617 | 2006-03-18 |
| 1043641541 | Denise Ann Carrier | Licensed Practical Nurse | 810 Cedar St, Clare, MI 48617 | 2013-12-09 |
| 1487876041 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 1432 N Mcewan St, Clare, MI 48617 | 2007-05-03 |
| 1417916560 | Patrick L Howe | Physical Therapist | 107 Schoolcrest, Clare, MI 48617 | 2006-03-18 |
| Find all providers in zip 48617 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386878031 | Farwell Family Medicine Clinic PC | Family Medicine | 10256 N Whiteville Rd, Clare, MI 48617-9319 | 2009-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651435 | Navihealth Michigan Hbpc, PC | Family Medicine | 2 Towne Sq Ste 275, Southfield, MI 48076-3719 | 2020-02-14 |
| 1215481981 | Metro Physicians Pllc | Family Medicine | 5555 Conner St Ste 2075, Detroit, MI 48213-3492 | 2016-08-10 |
| 1447610704 | Provider Service Organization | Family Medicine | 7233 Provincial Ct, Canton, MI 48187-2121 | 2016-02-29 |
| 1659704633 | David Gordon Reed | Family Medicine | 3620 Chula Vista Dr, East Jordan, MI 49727-8629 | 2013-08-14 |
| 1174800411 | New Life Medical Senior Care PC | Family Medicine | 105 S Wildwood Xing Apt 20, Ludington, MI 49431-8719 | 2011-11-15 |
| 1306134085 | Jeremiah Lopez | Family Medicine | 804 Service Rd Ste A235, East Lansing, MI 48824-7015 | 2011-07-15 |
| 1770819344 | Midmichigan Geriatric Services Pllc | Family Medicine | 4823 Henry Dr, Saginaw, MI 48638-5631 | 2009-11-02 |
| 1982871265 | Daniel R Smalley | Family Medicine | 105 S Wildwood Crossing 20, Ludington, MI 49431-8719 | 2008-05-15 |
| 1821267832 | Eastlake Medical Center | Family Medicine | 646 Chene St, Detroit, MI 48207-3979 | 2008-02-23 |
| 1740479278 | William Kerr Md PC | Family Medicine | 650 N Center Ave, Suite 3 B, Gaylord, MI 49735-1682 | 2007-10-22 |
| Find all providers with the same taxonomy | ||||
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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.