LARRY JACKSON (NPI# 1720049349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720049349 |
Entity Type | Individual |
Full Name | LARRY JACKSON |
Credential | M.D. |
Practice Address |
6565 W Main St Kalamazoo MI 49009-6114 |
Practice Telephone | 2693750400 |
Practice Fax Number | 2693728484 |
Mailing Telephone | 2693750400 |
Mailing Fax Number | 2693728484 |
Enumeration Date | 2006-03-31 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 4301062086 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4381907 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568855724 | Larry Jackson Jr. | Specialist/Technologist | 826 Warfield Pl, Lexington, KY 40505-3612 | 2015-03-12 |
1396186276 | Larry Tyler Jackson | Dentist | 14100 N 83rd Ave, Ste 280, Peoria, AZ 85381-5658 | 2013-07-08 |
1093878191 | Larry Randolph Jackson | Registered Nurse | 615 Rapids Rd, Columbia, SC 29212-3024 | 2006-12-19 |
1710068499 | Larry M. Jackson | Nutritionist | 9357 S Kingston Ave, Chicago, IL 60617-4042 | 2006-10-18 |
1093169062 | Larry Jackson Jr. | Counselor | 1420 Central Ave, Dubuque, IA 52001-4842 | 2016-04-15 |
1679971667 | Larry Jackson | Specialist | 1501 5th Ave N, St Petersburg, FL 33705-2008 | 2014-12-08 |
1578880548 | Larry Arthur Jackson | Family Medicine | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2010-04-29 |
1023285582 | Larry Ronald Jackson II | Internal Medicine | 2301 Erwin Rd, Durham, NC 27710-0001 | 2008-05-14 |
1912928441 | Larry D Jackson | Personal Emergency Response Attendant | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2006-07-21 |
1275574295 | Larry K Jackson | Internal Medicine | 2660 10th Ave S, Suite 528, Birmingham, AL 35205-1605 | 2006-06-09 |
Street Address |
6565 W MAIN ST |
City | KALAMAZOO |
State | MI |
Zip Code | 49009-6114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720080351 | Robert C Kiser | Emergency Medicine | 6565 W Main St, Kalamazoo, MI 49009-6114 | 2005-08-12 |
1851863617 | Vicky F Mikowski | Nurse Practitioner | 6565 W Main St, Kalamazoo, MI 49009-6114 | 2018-12-18 |
1003317504 | West Michigan Medical PC | Physical Medicine & Rehabilitation | 6565 W Main St, Kalamazoo, MI 49009-6114 | 2018-02-21 |
1689128571 | Haley Vos | Physician Assistant | 6565 W Main St, Kalamazoo, MI 49009-6114 | 2016-08-08 |
1710312467 | Adam J Toomey | Physician Assistant | 6565 W Main St, Kalamazoo, MI 49009-6114 | 2013-09-12 |
1295905743 | Michigan Orthopedic Surgery and Rehabilitation, P.C. | Orthopaedic Surgery | 6565 W Main St, Suite 235, Kalamazoo, MI 49009-6114 | 2008-03-11 |
1568631117 | Karrie E Kranz | Physician Assistant | 6565 W Main St, Kalamazoo, MI 49009-6114 | 2008-02-28 |
1558423681 | Linnea Halfvarson | Psychologist | 6565 W Main St, Suite 215, Kalamazoo, MI 49009-6114 | 2006-12-14 |
1205945359 | Physiotherapy Associates Inc | Clinic/Center | 6565 W Main St, Suite 101, Kalamazoo, MI 49009-9144 | 2006-08-30 |
1629188339 | Rxruss Inc | Pharmacy | 6565 W Main St, Kalamazoo, MI 49009-6114 | 2006-08-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
Find all providers in zip 49009 |
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 |
---|---|---|---|---|
1487296760 | Inspired Health & Wellness Pllc | Family Medicine | 4415 Duke St Ste 2e, Kalamazoo, MI 49008-3224 | 2019-10-08 |
1619532199 | Swmi Health Matters Pllc | Family Medicine | 3240 S Westnedge Ave, Kalamazoo, MI 49008-2903 | 2019-05-09 |
1295203032 | Online Care Solutions Plc | Family Medicine | 2223 Rambling Rd, Kalamazoo, MI 49008-1628 | 2018-11-09 |
1699186957 | Christine Bourgeois | Family Medicine | 1631 S Westnedge Ave, Kalamazoo, MI 49008-1928 | 2014-05-08 |
1750643375 | William N Hubbard Jr. | Family Medicine | 3634 Woodcliff Dr, Kalamazoo, MI 49008-2513 | 2012-06-10 |
1316212111 | Otto Ivan Linet | Family Medicine | 526 Jasper Street, Jasper Clinic, Kalamazoo, MI 49007-5319 | 2012-03-13 |
1033420419 | Nathan Tushar Patel | Family Medicine | 6838 Elm Valley Dr, Kalamazoo, MI 49009 | 2010-06-30 |
1760675722 | Frank G. Harrell, M.d. | Family Medicine | 1602 Gull Rd, Kalamazoo, MI 49048-1608 | 2007-08-23 |
1730391194 | Rebecca Lee Mallett | Family Medicine | 7404 W H Ave, Kalamazoo, MI 49009-8586 | 2007-05-05 |
1780805176 | Chris Allen Unterseher | Family Medicine | 923 Interlochen Street, Kalamazoo, MI 49009 | 2007-05-01 |
Find all providers in KALAMAZOO |
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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.