John Axelson, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

JA037999 Issued in MI

Practice address

1100 E Michigan Ave
Ste 201
Jackson, MI 49201-1847

Phone

(517) 789-7122

Fax

(517) 789-5229

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1255306429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HAWTHORNE DR",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492308924",
            "telephone_number": "517-592-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E MICHIGAN AVE",
            "address_2": "STE 201",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011847",
            "telephone_number": "517-789-7122",
            "fax_number": "517-789-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXELSON",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "JA037999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "JA037999",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4618070",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Aubin, M.D.
• Jamie Kay Aune, FNP-C
• Alyssa Austin
• Elizabeth A Avery, OTR/L
• Hannah Kristyne Avery, LLPC
• Robert Roy Ayers I, MA, LLPC
• Azimuth Counseling PLLC
• Yasmeen Azookari
• William Babcock III
• Ellen Bach, RD

• Hematology & Oncology Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Hematology & Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.