MEDICARE: CARISSA J MAY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	4301107802	MI
2	207V00000X	Obstetrics & Gynecology Physician	MD-56033	IA
3	207V00000X	Obstetrics & Gynecology Physician	324011	LA

General Provider Information

NPI Number	:	1194107755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARISSA J MAY MD

Provider Business Mailing Address
First Line	:	1 FORD PL STE 3A
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48202-3450
Country	:	US
Telephone Number	:	800-999-5829
Fax Number	:	313-846-1305

Provider Business Practice Location Address
First Line	:	3305 SPRING ARBOR RD STE 200
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-3995
Country	:	US
Telephone Number	:	517-205-1285
Fax Number	:	517-205-0115

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2015
Last Update Date	:	12/21/2025

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Directions to “ CARISSA J MAY MD” Practice Location

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