INDEPENDENT EMERGENCY PHYSICIANS P.C.
NPI 1700136520
Physician Assistant in Jackson, MI

Q: What is Independent Emergency Physicians P.C.'s specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since September 19, 2012

205 NORTH EAST AVENUE, EMERGENCY DEPARTMENT, JACKSON, MI 49201(517) 788-4800 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Independent Emergency Physicians P.c. NPPES

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

INDEPENDENT EMERGENCY PHYSICIANS P.C. (NPI 1700136520) is a healthcare organization registered as a physician assistant in Jackson, Michigan and active in the NPI registry since September 2012. The organization lists Julie Susin, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1700136520

Entity TypeOrganization

Primary Taxonomy363A00000X

Legal Business NameINDEPENDENT EMERGENCY PHYSICIANS P.C.

Location Address205 NORTH EAST AVENUE, EMERGENCY DEPARTMENTJackson, MI 49201

Mailing AddressPo Box 100Royal Oak, MI 48068-0100 · (248) 849-3137

Phone(517) 788-4800

Organization SubpartNo

Authorized OfficialJulie SusinBusiness Manager · (248) 892-0715

Enumeration DateSeptember 19, 2012

✔ NPI 1700136520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 1784233

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

205 NORTH EAST AVENUE, Jackson, MI 49201

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUTH ANN DEILUS CRNA

Nurse Anesthetist, Certified Registered

205 NORTH EAST AVENUE
JACKSON, MI 49201

Jackson County (517) 788-4963

NICHOLAS ANTHONY CAMILLERI

Nurse Anesthetist, Certified Registered

205 NORTH EAST AVENUE, ANESTHESIA DEPARTMENT
JACKSON, MI 49201

Jackson County (517) 788-4963

MRS. SUSAN MARIE WHITBREAD CRNA

Nurse Anesthetist, Certified Registered

205 NORTH EAST AVENUE
JACKSON, MI 49201

Jackson County (517) 788-4963

MRS. NICOLE ANTONIA MORENO CRNA

Nurse Anesthetist, Certified Registered

205 NORTH EAST AVENUE, ANESTHESIA DEPARTMENT
JACKSON, MI 49201

Jackson County (517) 205-4963

JESSICA ALTHAUS

Nurse Anesthetist, Certified Registered

205 NORTH EAST AVENUE, ANESTHESIA DEPARTMENT
JACKSON, MI 49201

Jackson County (517) 205-4963

MR. NIROSHAN RANJAN M.D

Internal Medicine

205 NORTH EAST AVENUE
JACKSON, MI 49201

Jackson County (517) 205-7147

CIJI CHRISTINA ROBINSON M.D.

Student in an Organized Health Care Education/Training Program

205 NORTH EAST AVENUE
JACKSON, MI 49201

Jackson County (517) 205-1731

JUDITH A BOLTON CRNA

Nurse Anesthetist, Certified Registered

205 NORTH EAST AVENUE
JACKSON, MI 49201

Jackson County (517) 788-4963

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 Independent Emergency Physicians P.C.'s NPI number?

The NPI number for Independent Emergency Physicians P.C. is 1700136520. It was assigned to this organization in the NPPES registry on September 19, 2012.

Where is Independent Emergency Physicians P.C. located?

Independent Emergency Physicians P.C. is located at 205 North East Avenue Emergency Department, Jackson, MI 49201. The listed phone number is (517) 788-4800.

What is Independent Emergency Physicians P.C.'s specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Independent Emergency Physicians P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Independent Emergency Physicians P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Independent Emergency Physicians P.C. was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.