DR. JOHN ALEX JANSEN JR. (NPI# 1962540419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962540419 |
| Entity Type | Individual |
| Full Name | DR. JOHN ALEX JANSEN JR. |
| Credential | MD |
| Practice Address |
7300 N Canton Center Rd Emergency Medicine Department Canton MI 48187-1579 |
| Mailing Address |
38935 Ann Arbor Rd Credentialing/payor Contacting Livonia MI 48150-3397 |
| Practice Telephone | 7344548002 |
| Practice Fax Number | 8662506385 |
| Mailing Telephone | 7348050487 |
| Mailing Fax Number | 8662506385 |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2010-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301045424 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1962540419 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154855054 | John Michael Jansen | Pediatrics | 3320 Tates Creek Rd Ste 302, Lexington, KY 40502-3400 | 2017-04-18 |
| 1942645056 | John Robert Jansen | Technician/Technologist | 613 G Ave, Grundy Center, IA 50638 | 2013-05-02 |
| 1851315030 | John F Jansen | Dentist | 6105 Olive Branch Rd, Greenwood, IN 46143-9007 | 2006-07-27 |
| 1437711520 | John Michael Jansen | Family Medicine | 1202 W Oak St, Greenville, MI 48838-2155 | 2019-06-28 |
| 1255805487 | John George Jansen | Respiratory Therapist, Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-01-22 |
| 1720428469 | John Gerard Jansen | Pharmacist | 1800 Plover Rd, Plover, WI 54467-3978 | 2013-06-26 |
| 1437419546 | John Paul Jansen | Dentist | 710 Averitt Rd, Suite C, Greenwood, IN 46143-6390 | 2012-05-22 |
| 1336148782 | John F Jansen | Pathology | 290 Big Run Rd, Lexington, KY 40503-2903 | 2005-07-19 |
| Street Address |
7300 N CANTON CENTER RD EMERGENCY MEDICINE DEPARTMENT |
| City | CANTON |
| State | MI |
| Zip Code | 48187-1579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720067606 | David Weaver | Emergency Medicine | 7300 N Canton Center Rd, Emergency Medicine Department, Canton, MI 48187-1579 | 2006-01-10 |
| 1588192934 | Hussein Bazzi | Nurse Practitioner | 7300 N Canton Center Rd, Canton, MI 48184 | 2017-05-30 |
| 1407181571 | Renal Care Consultant, P.c | Clinic/Center | 7300 N Canton Center Rd, Canton, MI 48187-1579 | 2009-10-07 |
| 1346410479 | Ifeoma N Kamalu | Emergency Medicine | 7300 N Canton Center Rd, Canton, MI 48187-1579 | 2008-03-05 |
| 1467641522 | Jorge O Perez Md PC | Surgery | 7300 N Canton Center Rd, Canton, MI 48187-1579 | 2007-10-15 |
| 1164623823 | Arsala Bakhtyar | Pediatrics | 7300 N Canton Center Rd, Canton, MI 48187-1579 | 2007-05-30 |
| 1386763928 | Abdullah M Omari | Orthopaedic Surgery | 7300 N Canton Center Rd, Canton, MI 48187-1579 | 2007-03-28 |
| 1700935285 | Oakwood Ambulatory, LLC | Podiatrist | 7300 N Canton Center Rd, Canton, MI 48187-1579 | 2007-01-10 |
| 1134283831 | Oakwood Ambulatory, LLC | Dermatology | 7300 N Canton Center Rd, Canton, MI 48187-1579 | 2006-12-20 |
| 1043256167 | John R Collop | Emergency Medicine | 7300 N Canton Center Rd, Emergency Medicine Dept, Canton, MI 48187-1579 | 2006-06-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
| 1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
| 1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
| 1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831417278 | Carli Jo Blomquist | Emergency Medicine | 201 Hospital Road, Northside Hospital - Cherokee, Canton, GA 30114 | 2010-05-10 |
| 1841481314 | Randy Guy Allison | Emergency Medicine | 1920 34th St Nw, Canton, OH 44709-2731 | 2007-08-08 |
| 1760529523 | Ruchir K. Khurana | Emergency Medicine | 551 Riverstone Pkwy, Suite 100, Canton, GA 30114-5292 | 2007-01-31 |
| 1558372086 | Gregory Healey | Emergency Medicine | 25 Park St, Canton, NY 13617-1265 | 2006-08-10 |
| 1750399655 | Martha J Shadel | Emergency Medicine | 7300 Canton Center Dr, (emergency Dept), Canton, MI 48187-1579 | 2006-08-04 |
| 1578594057 | Allen Randle Beecham | Emergency Medicine | 2000 Village Professional Dr, Suite 200, Canton, GA 30114-8498 | 2006-07-05 |
| 1043270663 | Dwayne Bernard | Emergency Medicine | 500 Westwood Blvd, Canton, IL 61520-9532 | 2006-03-27 |
| 1619943743 | Dean W Varian | Emergency Medicine | 2725 Lincoln St. E, Canton, OH 44707 | 2006-02-28 |
| 1720067606 | David Weaver | Emergency Medicine | 7300 N Canton Center Rd, Emergency Medicine Department, Canton, MI 48187-1579 | 2006-01-10 |
| 1043298136 | Chada Natalie Reddy | Emergency Medicine | 7300 Canton Center Road, Emergency Medicine Department, Canton, MI 48187-1579 | 2006-01-09 |
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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.