| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JILL ANGELA WARD | 1538441316 | 2024-09-07 |
Jill A Ward [F] graduated in 2010 and primarily specializes in Emergency Medicine.
Jill Angela Ward is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1538441316. Registration indicates Jill Angela Ward is a provider of services with a specialization in Emergency Medicine (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians) (Emergency Medicine, ) (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians) (Emergency Medicine, ) (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians) (Emergency Medicine, ) (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians) (Emergency Medicine, ) (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians) (Emergency Medicine, ) (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians)
| PECOS ID | 4880848712 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Jill Angela Ward MD |
| Practice Office Address | 5816 N SHELDON RD CANTON, MI US |
| Practice Office Telephone | 8587751700 |
| Mailing Address | 7829 COLLINS GROVE RD JACKSONVILLE, FL 322567176 US |
| Business Telephone | 9045354815 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 5816 N Sheldon Rd | Canton, MI 481873153 | 8587751700 |
| Code | Practice | License No State |
|---|---|---|
| 207P00000X | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | 5307014169
MI |
| 207P00000X PRIMARY | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | 110689
FL |
| 207P00000X | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | 93636
GA |
| 207P00000X | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | FW2754655
FL |
| 207P00000X | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | 4301507937
MI |
| 207P00000X | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | 5315241184
MI |
| 003154167D | MEDICAID | FL | |
| 008868300 | MEDICAID | FL | |
| 14PL3 | OTHER | FL | BCBS |