Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Thomas Johengen, DO

Individual provider Family Medicine Physician · NPI 1154945558

Dr. Jacob Thomas Johengen, DO is a Family Practice in Milan, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2020, 6 years ago. Practices with Iha Health Services Corporation, a 1,146-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
6
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

870 E Arkona Rd Ste 100
Milan, MI 48160-9770
Phone: (734) 439-2429
Fax: (734) 439-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5151014543 (MI)

Record details

NPI number1154945558
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 1, 2020
Last updated in NPPESJune 23, 2023
Certification dateJune 22, 2023
Mailing address24 Frank Lloyd Wright Dr # J2000, Ann Arbor, MI 48105-9484

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Iha Health Services Corporation — 1146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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