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

Jonathan Waxman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386063824

Jonathan Waxman is an Otolaryngology in Detroit, Michigan. Graduated from Illinois Medical College in 2014, 12 years ago. Practices with Ear Nose and Throat Consultants PC, a 29-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
12
Trained at
Illinois Medical College
Licensed in
MI
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

4201 Saint Antoine St Uhc 5-E
Detroit, MI 48201-2153
Phone: (313) 577-0804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 4301105881 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386063824
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2014
Last updated in NPPESJuly 19, 2019

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolILLINOIS MEDICAL COLLEGE
Graduated 2014 (12 years in practice)
Group practice Ear Nose And Throat Consultants Pc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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