PHILIP JACKSON M.D.
NPI 1437174638
Pediatrics in Inkster, MI

Q: What is Philip Jackson's NPI number?

The NPI number for Philip Jackson is 1437174638. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is Philip Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Philip Jackson was last updated on October 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 12, 2006

2500 HAMLIN DR, INKSTER, MI 48141(313) 561-5100(313) 565-0309 Get Directions Write a Review

NPPES record last updated: October 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Philip Jackson M.d. NPPES

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

PHILIP JACKSON M.D. (NPI 1437174638) is an individual pediatrics provider in Inkster, Michigan, licensed in Michigan (4301025901) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1437174638

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NamePHILIP JACKSONCredential: M.D.

Location Address2500 HAMLIN DRInkster, MI 48141-2348

Mailing Address26650 Eureka Rd, Suite C-1Taylor, MI 48180-4835 · (734) 941-4991 · Fax (734) 941-4919

Phone(313) 561-5100

Fax(313) 565-0309

Sole ProprietorNo

Enumeration DateJuly 12, 2006

Last NPPES UpdateOctober 21, 2009

✔ NPI 1437174638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301025901

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2500 HAMLIN DR, Inkster, MI 48141

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Other Identifiers 11

Other0994622MI · Health Plus Mmmi

Medicare UPINE85218MI

Other350D410030MI · Bcn Blue Choice Fenton

Other1437174638MI · Npi

Other700H228520MI · Bcbsm

Medicare ID-Type UnspecifiedOM28420003MI · Mmmi Fenton

Other17572MI · Mcare Mmmi

Medicaid4737508MI

Other1020381MI · Mclaren Health Plan Han

Medicaid4859153MI

Other350D410030MI · Bcbs Mmmi

Other Providers at the Same Location NPPES 7

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

MRS. JUNG M NICHOLS LMSW

Social Worker (Clinical)