Jacob Kalo MD PC

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

Legal business name

JACOB KALO MD PC

Practice address

15650 E 8 Mile Rd
Detroit, MI 48205-1444

Phone

(313) 526-3600

Fax

(313) 526-3603

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Jacob Kalo, M.D.

Title

Owner

Phone

(313) 526-3600

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1396941001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15650 E 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051444",
            "telephone_number": "313-526-3600",
            "fax_number": "313-526-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15650 E 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051444",
            "telephone_number": "313-526-3600",
            "fax_number": "313-526-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB KALO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "KALO",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-526-3600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "JK040053",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN",
            "identifier": "7820007",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1703687",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Kaye Jackson, INTERN
• William Jackson, MD
• Yamisha Jackson, C.N.A
• Yvonne Jackson, RN
• Jackson'S Homes LLC
• Angela Jacob, MD
• Brigid Jacob, MD
• Edmund Doromal Jacob, M.D.
• Jaisy Jacob
• Sony Jacob, MD

• Obstetrics Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Obstetrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.