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MICHAEL JAGGER M.D.
NPI 1669411807
Pediatrics in Mishawaka, IN

Active since June 05, 2006
611 E DOUGLAS, SUITE 309, MISHAWAKA, IN 46545(574) 252-2640(574) 252-2650 Get Directions Write a Review

NPPES record last updated: December 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Jagger M.d. NPPES

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

MICHAEL JAGGER M.D. (NPI 1669411807) is an individual pediatrics provider in Mishawaka, Indiana, licensed in Indiana (01023464) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1669411807
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMICHAEL JAGGERCredential: M.D.
Location Address611 E DOUGLAS, SUITE 309Mishawaka, IN 46545-1467
Mailing AddressPo Box 6309South Bend, IN 46660-6309 · (574) 472-6700 · Fax (574) 472-6746
Phone(574) 252-2640
Fax(574) 252-2650
Sole ProprietorNo
Enumeration DateJune 5, 2006
Last NPPES UpdateDecember 2, 2009
✔ NPI 1669411807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01023464
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.
611 E DOUGLAS, Mishawaka, IN 46545
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Other Identifiers 3

Medicaid100222270AIN
Medicare UPINF18388IN
Other000000269222IN · Bcbs

Other Providers at the Same Location NPPES 3

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

DR. MOTASEM AFYOUNI M.D.
Internal Medicine
611 E DOUGLAS, SUITE 309
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6232
MARY EVELYN GRABER M.D.
Pediatrics
611 E DOUGLAS, SUITE 309
MISHAWAKA, IN 46545
St. Joseph County (574) 252-2640
DAHAN HUSSEIN AL-FADHL M.D.
Internal Medicine
611 E DOUGLAS, SUITE 309
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6232

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 Michael Jagger's NPI number?

The NPI number for Michael Jagger is 1669411807. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Michael Jagger located?

Michael Jagger practices at 611 E Douglas Suite 309, Mishawaka, IN 46545. The listed phone number is (574) 252-2640.

What is Michael Jagger's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Jagger was last updated on December 2, 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.