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JACK J MASTER PA
NPI 1912915059
Physician Assistant in Ann Arbor, MI

Active since August 04, 2006
1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP B, ANN ARBOR, MI 48108(734) 936-5851 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack J Master Pa NPPES

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

JACK J MASTER PA (NPI 1912915059) is an individual physician assistant in Ann Arbor, Michigan, licensed in Michigan (5601004461) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1912915059
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACK J MASTERCredential: PA
Location Address1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP BAnn Arbor, MI 48108
Mailing Address3621 S State St, 700 Kms PlaceAnn Arbor, MI 48108 · (734) 936-2047
Phone(734) 936-5851
Sole ProprietorNo
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912915059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601004461
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1500 EAST MEDICAL CENTER DR, Ann Arbor, MI 48108
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Other Identifiers 1

Medicare UPINS07063MI

Other Providers at the Same Location NPPES 6

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

DR. MADHAVI DANDU M.D.
Internal Medicine
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CTR RECP B
ANN ARBOR, MI 48108
Washtenaw County (734) 936-5582
MRS. SILVANA MARIA DESANTO DAVIS PA-C
Physician Assistant
1500 EAST MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI 48108
Washtenaw County (734) 936-6666
WILLIAM THOMAS ADAM FOX MD
Anesthesiology
1500 EAST MEDICAL CENTER DR
ANN ARBOR, MI 48108
Washtenaw County (734) 936-4280
WILSON P THOMAS MD
Anesthesiology
1500 EAST MEDICAL CENTER DR
ANN ARBOR, MI 48108
Washtenaw County (734) 936-4280
MICHAEL ROBERT ADAMS M.D.
Internal Medicine
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CTR RECP 'B'
ANN ARBOR, MI 48108
Washtenaw County (734) 936-5582
DR. MARK F HOELTZEL MD
Pediatrics (Pediatric Rheumatology)
1500 EAST MEDICAL CENTER DR, 8TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL
ANN ARBOR, MI 48108
Washtenaw County (734) 936-4185

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 Jack Master's NPI number?

The NPI number for Jack Master is 1912915059. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Jack Master located?

Jack Master practices at 1500 East Medical Center Dr 2nd Floor Taubman Ctr Recp B, Ann Arbor, MI 48108. The listed phone number is (734) 936-5851.

What is Jack Master's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jack Master was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.