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JACKSON OB/GYN
NPI 1083679971
Specialist in Jackson, MI

Active since April 20, 2006
300 W WASHINGTON AVE, STE 60, JACKSON, MI 49201(517) 787-0334(517) 787-2114 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackson Ob/gyn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON OB/GYN (NPI 1083679971) is a healthcare organization registered as a specialist in Jackson, Michigan and active in the NPI registry since April 2006. The organization lists Michael Mcdonnell, Owner, as its authorized official.

NPPES Registry Identity

NPI1083679971
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJACKSON OB/GYN
Location Address300 W WASHINGTON AVE, STE 60Jackson, MI 49201-2180
Mailing Address300 W Washington Ave, Ste 60Jackson, MI 49201-2180 · (517) 787-0334 · Fax (517) 787-2114
Phone(517) 787-0334
Fax(517) 787-2114
Organization SubpartNo
Authorized OfficialMichael McdonnellOwner · (517) 787-0334
Enumeration DateApril 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1083679971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · MM012522
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
300 W WASHINGTON AVE, Jackson, MI 49201
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAX CARLTON HUTTON MD
Surgery
300 W WASHINGTON AVE, SUITE 300
JACKSON, MI 49201
Jackson County (517) 841-1305
MR. DANA ANDRE DEWITT DO
Family Medicine
300 W WASHINGTON AVE, STE 150
JACKSON, MI 49201
Jackson County (517) 783-4664
KAREN M MACPHERSON CNP
Nurse Practitioner
300 W WASHINGTON AVE, STE 300
JACKSON, MI 49201
Jackson County (517) 841-1305
CENTER FOR FAMILY HEALTH
Family Medicine
300 W WASHINGTON AVE, SUITE 060
JACKSON, MI 49201
Jackson County (517) 787-5970
DR. MICHAEL S MCDONNELL D.O.
Obstetrics & Gynecology
300 W WASHINGTON AVE
JACKSON, MI 49201
Jackson County (517) 787-0334
LAWRENCE NARKIEWICZ JR. MD
Surgery
300 W WASHINGTON AVE, SUITE 350
JACKSON, MI 49201
Jackson County (517) 788-9677
MR. MICHAEL CHARLES MCGLYNN CFNP
Nurse Practitioner
300 W WASHINGTON AVE, STE 150
JACKSON, MI 49201
Jackson County (517) 783-4664
PAMELA TERESA PETERSON NP
Nurse Practitioner (Acute Care)
300 W WASHINGTON AVE, SUITE 300
JACKSON, MI 49201
Jackson County (517) 841-1305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Ob/Gyn's NPI number?

The NPI number for Jackson Ob/Gyn is 1083679971. It was assigned to this organization in the NPPES registry on April 20, 2006.

Where is Jackson Ob/Gyn located?

Jackson Ob/Gyn is located at 300 W Washington Ave Ste 60, Jackson, MI 49201. The listed phone number is (517) 787-0334.

What is Jackson Ob/Gyn's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jackson Ob/Gyn was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.