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DR. JONATHON P STATE M.D.
NPI 1376595066
Family Medicine in Birmingham, MI

Active since May 17, 2006
757 VINEWOOD, BIRMINGHAM, MI 48009(248) 644-6029(519) 258-7896 Get Directions Write a Review

NPPES record last updated: May 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jonathon P State M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHON P STATE M.D. (NPI 1376595066) is an individual family medicine provider in Birmingham, Michigan, licensed in Michigan (4301074553) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1376595066
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JONATHON P STATECredential: M.D.
Location Address757 VINEWOODBirmingham, MI 48009
Mailing Address757 VinewoodBirmingham, MI 48009 · (248) 644-6029 · Fax (519) 258-7896
Phone(248) 644-6029
Fax(519) 258-7896
Sole ProprietorYes
Enumeration DateMay 17, 2006
Last NPPES UpdateMay 6, 2011
✔ NPI 1376595066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301074553
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.
757 VINEWOOD, Birmingham, MI 48009
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Other Identifiers 12

Other383268406MI · Ein Tax Id#
Medicare ID-Type Unspecified0M17170014MI
OtherCC3713MI · Rr Medicare
Medicaid4120366MI
OtherC7104MI · Mcare
Other127456MI · Mercy Care Choices
Other1730121MI · Uhc
Other5228630MI · Aetna
Medicare UPING36907MI
Other700H21076MI · Bcbsm
Other1591463MI · Cigna
Other4301074553MI · Physician License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathon State's NPI number?

The NPI number for Jonathon State is 1376595066. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Jonathon State located?

Jonathon State practices at 757 Vinewood, Birmingham, MI 48009. The listed phone number is (248) 644-6029.

What is Jonathon State's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jonathon State was last updated on May 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.