Jeffery T. Archbold DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JEFFERY T. ARCHBOLD DO

Practice address

312 E Midland Rd Ste a
Auburn, MI 48611-9751

Phone

(989) 662-8868

NPI assigned

Sep 2, 2025

Last updated

Nov 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffery T Archbold, DONPI 1184656159

Title

Owner/Physician

Phone

(989) 430-2692

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Jeffery T Archbold, D.O.

  • Family Medicine Physician
  • Auburn, MI
  • NPI 1184656159
  Medicare reassignment NPD Authorized official
• Mark Louis Skory, D.O.

  • Family Medicine Physician
  • Auburn, MI
  • NPI 1417038449
  NPD
• Kelsey Marie Child, PA-C

  • Physician Assistant
  • Auburn, MI
  • NPI 1740029420
  NPD (past)

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1245119254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E MIDLAND RD STE A",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119751",
            "telephone_number": "989-662-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E MIDLAND RD STE A",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119751",
            "telephone_number": "989-662-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY T. ARCHBOLD DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "ARCHBOLD",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "989-430-2692",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mallory Jean Jacobs, RD
• Brooklynn Jonassen
• K. H. Counseling and Supervisory Service, LLC
• Jaclyn Kennedy, DPT
• Ronald V Klump, RPH
• Cameron Koch

• Family Medicine Physician in Auburn, MI
• Providers in Auburn, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.