Healthcare Provider Details

I. General information

NPI: 1194107755
Provider Name (Legal Business Name): CARISSA J MAY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2015
Last Update Date: 12/21/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3305 SPRING ARBOR RD STE 200
JACKSON MI
49203-3995
US

IV. Provider business mailing address

1 FORD PL STE 3A
DETROIT MI
48202-3450
US

V. Phone/Fax

Practice location:
  • Phone: 517-205-1285
  • Fax: 517-205-0115
Mailing address:
  • Phone: 800-999-5829
  • Fax: 313-846-1305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4301107802
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD-56033
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number324011
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: