MATTHEW JACKSON (NPI# 1699128645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699128645 |
| Entity Type | Individual |
| Full Name | MATTHEW JACKSON |
| Credential | D.O. |
| Practice Address |
27351 Dequindre Rd Madison Heights MI 48071-3487 |
| Practice Telephone | 2483956419 |
| Mailing Telephone | 7199669850 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 5101022673 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10000 Telegraph Rd Ste 100, Taylor, MI 481803330 | 3138876000 | 3138876005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184278913 | Matthew Jackson | Student in an Organized Health Care Education/Training Program | 540 W 5150 S, Washington Terrace, UT 84405-6530 | 2019-07-30 |
| 1922651041 | Matthew Jackson | Social Worker | 1820 Pleasant Dr, Portage, MI 49002-5604 | 2019-07-17 |
| 1093289795 | Matthew Kory Jackson | Chiropractor | 515 E 4500 S Ste G230, Salt Lake City, UT 84107-4510 | 2019-01-15 |
| 1932558210 | Matthew Jackson | Driver | 3121 Johnston St Apt 142, Lafayette, LA 70503-3760 | 2016-06-08 |
| 1306237201 | Matthew Jackson | Specialist/Technologist | 51 Edward Rd, Townsend, MA 01469-1107 | 2015-02-12 |
| 1710235452 | Matthew Kane Jackson | Pharmacist | 942 Loy Cemetery Rd, Columbia, KY 42728-8719 | 2012-08-28 |
| 1619103702 | Matthew Matthew Jackson | Case Manager/Care Coordinator | 1101 West Morgan St, Suite 8, Paragould, AR 72450-3949 | 2009-06-03 |
| 1609942531 | Matthew Bryan Jackson | Massage Therapist | 2600 Sw Barton Street, Suite A24, Seattle, WA 98126 | 2006-11-24 |
| 1962481887 | Matthew Dv Jackson | Dentist | 9319 E Harry, #126, Wichita, KS 67207 | 2006-01-10 |
| 1528590460 | Matthew Dean Jackson | Student in an Organized Health Care Education/Training Program | 571 S Floyd St, Ste 412, Louisville, KY 40202-3818 | 2017-03-30 |
| Street Address |
27351 DEQUINDRE RD |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071-3487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235126996 | J Barry Rubin | Psychiatry & Neurology | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2005-09-28 |
| 1134743206 | Ani Mnatsakanian | Otolaryngology | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-06-03 |
| 1669096111 | Jacob Alexander Martin Novack | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-06-01 |
| 1205459971 | Brentwood Oftedal | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-28 |
| 1700409703 | Noorel Zia | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-26 |
| 1790308047 | Nora Rader | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-21 |
| 1861014680 | Kevin Conor Kenney | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-14 |
| 1750902409 | Dean Balabanov | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-05 |
| 1437770161 | Charles Rodarmor | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-05 |
| 1194346106 | Elvin Chiang | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1033776372 | Terry Ky-sieu Tran | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd., Madison Height, MI 48071 | 2019-05-22 |
| 1942865894 | Jordan Lee Stav | Student in an Organized Health Care Education/Training Program | Sjmo Emergency Medicine Residency Program, 27351 Dequindre Rd, Madison Heights, MI 48071 | 2019-05-07 |
| 1538624960 | Holistic Therapy Institute Physical Therapy, Inc. | Physical Therapist | 30201 Dequidre Rd Suite1, Madison Hts, MI 48071 | 2019-02-11 |
| 1720558216 | Kevin Luce | Physical Therapy Assistant | 1433 E 12 Mile Road, Madison Heights, MI 48071 | 2018-11-28 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1730602004 | Ali Bazzy | Nurse Practitioner | 27483 Dequindre Suite 304, Madison Hgts, MI 48071 | 2017-07-19 |
| Find all providers in zip 48071 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295790418 | Christopher B Najarian | Orthopaedic Surgery | 909 E 12 Mile Rd, Madison Heights, MI 48071-2505 | 2006-04-19 |
| 1609877463 | Alan H. Klein | Orthopaedic Surgery | 27483 Dequindre Rd Ste 102, Madison Heights, MI 48071-5700 | 2005-08-02 |
| 1477173508 | Mini Invasive Orthopedics | Orthopaedic Surgery | 28037 Dequindre Rd, Madison Heights, MI 48071-3079 | 2020-04-18 |
| 1528410099 | Paul Knapp | Orthopaedic Surgery | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2016-07-08 |
| 1841685195 | Computerized Joint Surgery LLC | Orthopaedic Surgery | 28037 Dequindre Rd, Madison Heights, MI 48071-3079 | 2015-04-03 |
| 1811200850 | Christopher B. Najarian, D.o., P.C. | Orthopaedic Surgery | 909 E 12 Mile Rd, Madison Heights, MI 48071-2505 | 2010-07-20 |
| 1619909793 | Dennis G Kelly | Orthopaedic Surgery | 27483 Dequindre Rd, Suite 303a, Madison Heights, MI 48071-3491 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805365 | Conner D Ahlgren | Orthopaedic Surgery | 3535 W 13 Mile Rd Ste 742, Royal Oak, MI 48073-6770 | 2020-06-09 |
| 1063035319 | Alex Kane Miller | Orthopaedic Surgery | 3577 W 13 Mile Rd Ste 402, Royal Oak, MI 48073-6710 | 2020-05-21 |
| 1396374716 | Arjun Patel | Orthopaedic Surgery | Ascension Genesys, Gme Dept, One Genesys Pkwy, Grand Blanc, MI 48439-4843 | 2020-04-07 |
| 1346876711 | Timothy Curtis Mead | Orthopaedic Surgery | 4752 Lake Harbor Rd, Norton Shores, MI 49441-5236 | 2020-03-18 |
| 1932751112 | Mendelson Warren Pharmacy | Orthopaedic Surgery | 11900 E 12 Mile Rd Ste 105, Warren, MI 48093-3487 | 2019-07-09 |
| 1023678059 | Th Mg Ohio LLC | Orthopaedic Surgery | 1050 Wilshire Dr Ste 300, Troy, MI 48084-1526 | 2019-06-20 |
| 1609430321 | Mohamed Saad-waterworks, PC | Orthopaedic Surgery | 21031 Michigan Ave Fl 2, Dearborn, MI 48124-2339 | 2019-04-29 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| 1588228845 | Muhammad Talha Padela | Orthopaedic Surgery | 3990 John R St Ste 7b, Detroit, MI 48201 | 2019-04-23 |
| 1134681125 | Neuro Spine Institute Pllc | Orthopaedic Surgery | 29255 Northwestern Hwy Ste 202, Southfield, MI 48034-5741 | 2019-04-01 |
| Find all providers with the same taxonomy | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
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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.