Unknown Individual – Obstetrics & Gynecology Physician, NPI 1154398931
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
East Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States
SUITE 204
JACKSON, MI 492011847
Phone: (517) 787-6247
Fax: (517) 787-1988
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49201)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | MI | 76830 | Ultrasound pelvis through vagina | 15 | 13 |
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