Michael J. Jacobs, M. D. P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MJ068638 Issued in MI

Legal business name

MICHAEL J. JACOBS, M. D. P.C.

Practice address

26850 Providence Pkwy Ste 504
Novi, MI 48374-1267

Phone

(248) 662-4333

NPI assigned

Feb 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael J. Jacobs, MDNPI 1568474195

Title

President

Phone

(248) 662-4333

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael John Jacobs, MD

  • Surgery Physician
  • Novi, MI
  • NPI 1568474195
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1144364993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 502",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741267",
            "telephone_number": "246-662-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 504",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741267",
            "telephone_number": "248-662-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. JACOBS, M. D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-662-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "MJ068638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104569968",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mi Family Medical Center
• Mi Wellbeing LLC
• Ashley Micakovic
• Sara Micallef
• Michael a Roth MD PC
• Michael P. Burk, D.P.M., PLLC
• Michael R Cohen, DO, PLLC (Great Lakes Dermatology)
• Michael S Finn PC
• Nichole Michael
• Jenny R Michaels, MD MPH

• Surgery Physician in Novi, MI
• Providers in Novi, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.