DR. MICHAEL D JACKSON (NPI# 1255383741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255383741 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL D JACKSON |
| Credential | M.D. |
| Practice Address |
311 E Spruce St Garden City KS 67846-5679 |
| Practice Telephone | 6202753700 |
| Mailing Telephone | 6202753700 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2013-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 04-19573 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100208190C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345346 | Michael Frederick Jackson | Massage Therapist | 12702 E 33rd Ct, Spokane Valley, WA 99206-8372 | 2020-08-04 |
| 1295372993 | Michael Jackson | Chiropractor | 5216 Cold Springs Way, Eugene, OR 97405-5213 | 2019-12-02 |
| 1801365382 | Michael Jackson | Durable Medical Equipment & Medical Supplies | 5537b N Glenwood St Ste B, Garden City, ID 83714-1336 | 2018-11-14 |
| 1114441375 | Michael Frank Jackson Jr. | Physical Therapist | 1806 Russell Pkwy Ste 1400, Warner Robins, GA 31088-5781 | 2017-07-31 |
| 1457809931 | Michael Jackson | Counselor | 10001 W. Grand Avenue, Franklin Park, IL 60131 | 2016-09-14 |
| 1639625833 | Michael Jackson | Counselor | 128 Mute Swan Place, Newark, DE 19711 | 2016-08-28 |
| 1467823104 | Michael Jackson | Occupational Therapy Assistant | 1913 N Oakes St Apt D, Tacoma, WA 98406-7527 | 2015-10-07 |
| 1831576651 | Michael Howard Jackson | Family Medicine | 4646 Nw Fielding Road, Topeka, KS 66618 | 2015-04-30 |
| 1063809846 | Michael Jackson | Social Worker | 43518 Champlain Ct, Canton, MI 48188-1711 | 2015-04-20 |
| 1780922872 | Michael A Jackson | Pharmacist | 585 Mcwilliams Rd Se Unit 2303, Atlanta, GA 30315-7571 | 2013-01-23 |
| Street Address |
311 E SPRUCE ST |
| City | GARDEN CITY |
| State | KS |
| Zip Code | 67846-5679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902898265 | Guillermo E Garcia-ordenes | Orthopaedic Surgery | 311 E Spruce St, Garden City, KS 67846 | 2005-08-22 |
| 1649882374 | Chloe Adaire Bennett | Audiologist | 311 E Spruce St, Garden City, KS 67846-5614 | 2020-08-24 |
| 1033720651 | St. Catherine Hospital | Internal Medicine | 311 E Spruce St, Garden City, KS 67846-5614 | 2020-08-17 |
| 1114538741 | St. Catherine Hospital | Internal Medicine | 311 E Spruce St, Garden City, KS 67846-5614 | 2020-08-17 |
| 1881206407 | St. Catherine Hospital | Pediatrics | 311 E Spruce St, Garden City, KS 67846-5614 | 2020-08-17 |
| 1396355400 | St. Catherine Hospital | Podiatrist | 311 E Spruce St, Garden City, KS 67846-5614 | 2020-08-04 |
| 1740890854 | St. Catherine Hospital | Psychiatry & Neurology | 311 E Spruce St, Garden City, KS 67846-5614 | 2020-08-04 |
| 1811507122 | St. Catherine Hospital | Internal Medicine | 311 E Spruce St, Garden City, KS 67846-5614 | 2020-08-03 |
| 1114537412 | St. Catherine Hospital | Audiologist | 311 E Spruce St, Garden City, KS 67846-5614 | 2020-08-03 |
| 1487264693 | St. Catherine Hospital | Orthopaedic Surgery | 311 E Spruce St, Garden City, KS 67846-5614 | 2020-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629619036 | Kayla Thackery | Speech-Language Pathologist | 2735 N Jennie Barker Rd, Garden City, KS 67846 | 2019-10-07 |
| 1477049732 | Sarah Lemmons | Specialist/Technologist | 801 Campus Dr, Athletic Department, Garden City, KS 67846 | 2018-07-10 |
| 1720571813 | Keith Earnest Venjohn | Pharmacist | 3101 East Kansas Ave, Garden City, KS 67846 | 2018-06-13 |
| 1457879017 | Jami Rae Weaver-warren | Nurse Practitioner | 302 N. Fleming Street Suite 2, Garden City, KS 67846 | 2017-09-05 |
| 1659812279 | Cynthia Brungardt | Pharmacist | 2424 N. Taylor Avenuee, Garden City, KS 67846 | 2017-03-15 |
| 1982145595 | Garden City Sr Operatons LLC | Custodial Care Facility | 2002 Labrador Boulevard, Garden City, KS 67846 | 2017-03-15 |
| 1255717559 | United Methodist Mexican American Ministries | Community/Behavioral Health | 122 W. Laurel Street, Garden City, KS 67846 | 2015-08-10 |
| 1447668629 | Zulema Salazar | Registered Nurse | 712 St. John St., Garden City, KS 67846 | 2014-07-31 |
| 1710210943 | Garden Valley Retirement Village, LLC | Skilled Nursing Facility | 1505 East Spruce Street, Garden City, KS 67846 | 2009-09-04 |
| 1720231848 | Vollertsen Family Dentistry | Health Maintenance Organization | 1402 1/2 Kansas Ave., Garden City, KS 67846 | 2008-11-03 |
| Find all providers in zip 67846 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134616832 | Robin L. Lipski D.o PC | Family Medicine | 6255 Inkster Rd Ste 304, Garden City, MI 48135-2538 | 2018-04-18 |
| 1881135234 | New Hope Together, Inc. | Family Medicine | 603 E Labrador Blvd, #4, Garden City, KS 67846-3292 | 2017-03-18 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1003297102 | Marcus Ng | Family Medicine | 1001 Franklin Ave Rm 110, Garden City, NY 11530-2901 | 2015-06-15 |
| 1588845655 | Richard Wallace Thomas | Family Medicine | 6b Crager Ct, Garden City, GA 31408-1314 | 2007-11-17 |
| 1508072729 | Prime Garden City Medical Group | Family Medicine | 30730 Ford Road, Garden City, MI 48135 | 2007-05-15 |
| 1053533844 | St. Catherine Hospital | Family Medicine | 311 E Spruce Street, Garden City, KS 67846 | 2007-05-03 |
| 1861411969 | Betty Ann Kelly | Family Medicine | Bldg. #19, West Rd., Mitchel Complex Family Health Center, Garden City, NY 11530 | 2006-07-19 |
| 1558394627 | Maria Krichever | Family Medicine | 109 Minis Ave, Suite C-10, Garden City, GA 31408-2128 | 2006-07-09 |
| 1174550313 | James Dale Lawrenzi | Family Medicine | 101 B Old 7 Hwy., Garden City, MO 64747-0469 | 2006-06-26 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 67846 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.