Provider Demographics
NPI:1649239617
Name:CAYLE, JONATHAN E (MD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:E
Last Name:CAYLE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3128 WALTON BLVD
Mailing Address - Street 2:PMB 307
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309
Mailing Address - Country:US
Mailing Address - Phone:586-854-2000
Mailing Address - Fax:
Practice Address - Street 1:333 N CASTELL AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1819
Practice Address - Country:US
Practice Address - Phone:586-854-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301086994207VX0000X
CAG87412207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0501878OtherBCBS
MI204427237OtherCOMMERCIAL