LARRY JACKSON


Address: 6565 W Main St, Kalamazoo, MI 49009-6114
Phone: 2693750400

LARRY JACKSON (NPI# 1720049349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 4301062086 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 4381907 05

Other Providers LARRY JACKSON

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

Office Location

Street Address 6565 W MAIN ST
City KALAMAZOO
State MI
Zip Code 49009-6114

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City KALAMAZOO
Zip Code 49009

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Dataset Information

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.

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