DR. ROBERT JACKSON


Address: 8338 Allen Rd, Ste 101, Allen Park, MI 48101-1399
Phone: 3133865500

DR. ROBERT JACKSON (NPI# 1891768057) 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) 1891768057
Entity Type Individual
Full Name DR. ROBERT JACKSON
Credential M.D
Practice Address 8338 Allen Rd
Ste 101
Allen Park
MI 48101-1399
Practice Telephone 3133865500
Practice Fax Number 3133863444
Mailing Telephone 3133865500
Mailing Fax Number 3133863444
Enumeration Date 2006-02-08
Last Update Date 2018-05-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 4301047106 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 4545062 05
MI RAILROAD MEDICARE 080104292 01

Other Providers ROBERT JACKSON

NPI Name Taxonomy Address Enumeration
1538701487 Robert Jackson Physical Therapist 3056 Healthy Way Ste 116, Birmingham, AL 35243-2435 2019-10-11
1881003655 Robert Donald Jackson Social Worker 151 Knollcroft Rd # 116d, Lyons, NJ 07939-5001 2014-08-06
1780005496 Robert Earl Jackson Jr. Community Health Worker 17 Wickham Dr, Columbus, GA 31907-6328 2013-12-23
1073942371 Robert Jackson Massage Therapist 502 11th St Se, Decatur, AL 35601-4908 2013-11-06
1447548573 Robert Joseph Jackson Licensed Practical Nurse 5454 East State St, Hermitage, PA 16148 2011-07-11
1457515330 Robert Anthony Jackson Dentist 2816 Veach Rd., Unit 305, Owensboro, KY 42303 2008-07-10
1437357399 Robert D Jackson Counselor 5525 Erindale Dr Ste 112, Colorado Springs, CO 80918-6960 2007-07-03
1174736029 Robert Allan Jackson Physician Assistant 2109 Brookview Ter Apt B, Pekin, IL 61554-7320 2007-05-08
1144389347 Robert W Jackson Dentist 209 Mimosa Dr, Thomasville, GA 31792-6633 2006-12-06
1144305152 Robert Eric Jackson Internal Medicine 291 Indian Lake Blvd, Hendersonville, TN 37075-3653 2006-10-26

Office Location

Street Address 8338 ALLEN RD
STE 101
City ALLEN PARK
State MI
Zip Code 48101-1399

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982092268 Pace Physical Therapy, P.C. Occupational Therapist 8338 Allen Rd, Suite 102b, Allen Park, MI 48101-1399 2015-01-08
1497034144 Jenna M Kleiber Physician Assistant 8338 Allen Rd, Allen Park, MI 48101-1399 2011-08-12
1952629776 Jennifer Garrett Family Medicine 8338 Allen Rd, Suite 101, Allen Park, MI 48101-1402 2010-05-05
1508039934 Todd J Redge Physician Assistant 8338 Allen Rd, Suite 101, Allen Park, MI 48101-1399 2008-04-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184126633 Monica Yalamanchili Physical Therapist 7445 Regina Ave, Allen Park, MI 48101 2018-03-01
1669928685 Saad Khizar Usmani Dentist 6760 Allen Road, Suite 101, Allen Park, MI 48101 2016-08-30
1265778385 Rx Discount Pharmacy Pharmacy 6811 Allen Rd, Allen Park, MI 48101 2012-12-18
1841540333 Semaj Amia Dunson Counselor 4485 Willow Cove Blvd, Apt-a2, Allen Park, MI 48101 2012-09-12
1356678866 Stephanie A Rea Family Medicine 8338 Allen Road, Suite 101, Allen Park, MI 48101 2009-11-05
1811133952 John A. Newell Family Medicine 14839 Markese, Allen Park, MI 48101 2008-12-19
1497924203 Kimberly Ann Polchlopek Massage Therapist 7740 Allen Rd, Allek Park, MI 48101 2008-02-26
1518177997 Dana Marie Olson Obstetrics & Gynecology Oakwood Healthcare Center Allen Park, 15915 Southfield Road, Suite 100, Allen Park, MI 48101 2007-05-23
1316164098 Early Solutions Clinic, LLC Clinic/Center 3555 Fairland Blvd., Allen Park, MI 48101 2007-04-20
1730201427 Meijer Inc Durable Medical Equipment & Medical Supplies 3565 Fairlane Dr., Allen Park, MI 48101 2007-04-04
Find all providers in zip 48101

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
1265930275 Allen Park Family Physicians Plc Family Medicine 7445 Allen Rd Ste 210, Allen Park, MI 48101-1995 2018-01-24
1568836385 Daniel Carl Angell Family Medicine 8338 Allen Rd Ste 101, Allen Park, MI 48101-1399 2015-11-17
1356678866 Stephanie A Rea Family Medicine 8338 Allen Road, Suite 101, Allen Park, MI 48101 2009-11-05
1811133952 John A. Newell Family Medicine 14839 Markese, Allen Park, MI 48101 2008-12-19
1982826467 Childrens and Family Medical Clinic PC Family Medicine 8209 Allen Rd, Allen Park, MI 48101-1401 2007-05-03
1033273008 House Calls Physicians Pllc Family Medicine 6842 Park Ave, Allen Park, MI 48101-2084 2006-12-21
1952483372 Michael D Simms Family Medicine 7226 Allen Rd, Allen Park, MI 48101 2006-10-19
1588746903 Ronald G Baker Family Medicine 7226 Allen Road, Allen Park, MI 48101 2006-10-19
1326010828 Patricia Nester Family Medicine 7445 Allen Rd, Suite 250, Allen Park, MI 48101-1963 2006-02-07
1568432441 Jalal J Thwainey Family Medicine 7106 Park Ave, Allen Park, MI 48101-2038 2006-01-24
Find all providers in ALLEN PARK

Competitor

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City ALLEN PARK
Zip Code 48101

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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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