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JACKSON ORTHOPEDIC SPECIALIST
NPI 1568671857
Specialist in Jackson, MI

Active since May 22, 2007
1100 E MICHIGAN AVE, SUITE 308, JACKSON, MI 49201(517) 787-3900(517) 787-4318 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jackson Orthopedic Specialist NPPES

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

JACKSON ORTHOPEDIC SPECIALIST (NPI 1568671857) is a healthcare organization registered as a specialist in Jackson, Michigan and active in the NPI registry since May 2007. The organization lists Cheri Brautigam, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1568671857
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJACKSON ORTHOPEDIC SPECIALIST
Location Address1100 E MICHIGAN AVE, SUITE 308Jackson, MI 49201-1847
Mailing Address1100 E Michigan Ave, Suite 308Jackson, MI 49201-1847 · (517) 787-3900 · Fax (517) 787-4318
Phone(517) 787-3900
Fax(517) 787-4318
Organization SubpartNo
Authorized OfficialCheri BrautigamOffice Manager · (517) 780-9257
Enumeration DateMay 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1568671857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · RB072498
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.
1100 E MICHIGAN AVE, Jackson, MI 49201
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Other Identifiers 1

Medicaid4637511MI

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

JASON SEAN SUGDEN NP
Nurse Practitioner (Acute Care)
1100 E MICHIGAN AVE
JACKSON, MI 49201
Jackson County (517) 205-7605
RAJAN PASTORIZA MD PLC
Obstetrics & Gynecology
1100 E MICHIGAN AVE, STE 205
JACKSON, MI 49201
Jackson County (517) 787-6838
DONNA M O'NEILL MD
Internal Medicine (Infectious Disease)
1100 E MICHIGAN AVE, SUITE 305
JACKSON, MI 49201
Jackson County (517) 788-4781
RHONDA JOHNS RPH
Pharmacist
1100 E MICHIGAN AVE
JACKSON, MI 49201
Jackson County (517) 788-4907
DAVID EUGENE EGGERT MD
Surgery (Vascular Surgery)
1100 E MICHIGAN AVE, SUITE 310
JACKSON, MI 49201
Jackson County (517) 788-6968
JOHN AXELSON MD
Internal Medicine (Hematology & Oncology)
1100 E MICHIGAN AVE, STE 201
JACKSON, MI 49201
Jackson County (517) 789-7122
SUSAN DIANE SHEARD P.A.
Physician Assistant
1100 E MICHIGAN AVE, STE 201
JACKSON, MI 49201
Jackson County (517) 789-7122
STANLEY G CHMIEL RPH
Pharmacist
1100 E MICHIGAN AVE
JACKSON, MI 49201
Jackson County (517) 788-4907

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 Orthopedic Specialist's NPI number?

The NPI number for Jackson Orthopedic Specialist is 1568671857. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Jackson Orthopedic Specialist located?

Jackson Orthopedic Specialist is located at 1100 E Michigan Ave Suite 308, Jackson, MI 49201. The listed phone number is (517) 787-3900.

What is Jackson Orthopedic Specialist'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 Orthopedic Specialist was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.