JONATHON P. STATE M.D. – NPI #1376595066
Family Medicine

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.

JONATHON STATE is a physician located in BIRMINGHAM, MI. NPPES has assigned the NPI number 1376595066 to JONATHON STATE on May 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 15 years ago on May 06, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JONATHON STATE below.

NPI Profile for
JONATHON P. STATE

NPI Number
1376595066
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JONATHON P. STATE
Credentials
M.D.
Primary location
757 VINEWOOD
BIRMINGHAM, MI 48009
Phone: (248) 644-6029 Fax: (519) 258-7896
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for JONATHON STATE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNAMI5228630
OTHERBCBSMMI700H21076
OTHERCIGNAMI1591463
OTHERMCAREMIC7104
OTHERMERCY CARE CHOICESMI127456
OTHERPHYSICIAN LICENSEMI4301074553
OTHERRR MEDICAREMICC3713
OTHERUHCMI1730121
MEDICAIDMI4120366
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
MI 4301074553

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.