Jackson OB-GYN PLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

5101012522 Issued in MI

Legal business name

JACKSON OB-GYN PLC

Practice address

306 W Washington
Ste 102
Jackson, MI 49201

Phone

(517) 787-0334

NPI assigned

Mar 17, 2008

Last updated

Apr 21, 2008By 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

Mr. Michael McDonnell, DONPI 1164412961

Title

Owner/Dr

Phone

(517) 787-0334

Specialties & licenses 1

Addresses

Locations

Practitioners 7

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 S McDonnell, D.O.

  • Obstetrics & Gynecology Physician
  • Jackson, MI
  • NPI 1164412961
  Authorized official Same address or phone
• Rajendra H Mehta, MD

  • Cardiovascular Disease Physician
  • Jackson, MI
  • NPI 1770549099
  NPD
• Ami Patel

  • Adult Health Nurse Practitioner
  • Jackson, MI
  • NPI 1770362055
  NPD
• Jashu Patel, MD

  • Cardiovascular Disease Physician
  • Jackson, MI
  • NPI 1366408692
  NPD
• Lin Xu, FNP-BC

  • Nurse Practitioner
  • Jackson, MI
  • NPI 1790462414
  NPD
• Elizabeth G Zwick, P.A.

  • Medical Physician Assistant
  • Jackson, MI
  • NPI 1619283579
  NPD
• Nimrod Blank, M.D.

  • Cardiovascular Disease Physician
  • Dearborn, MI
  • NPI 1255709218
  NPD (past)

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208736000000",
    "number": "1790956837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W WASHINGTON",
            "address_2": "STE 102",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49201",
            "telephone_number": "517-787-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W WASHINGTON",
            "address_2": "STE 102",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49201",
            "telephone_number": "517-787-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON OB-GYN PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-04-21",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DR",
        "authorized_official_telephone_number": "517-787-0334",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101012522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Healing Clinic LLC
• Jackson Health Network L3C
• Jackson Heart PLLC
• Jackson Home Medical Equipment, Inc. (The Aumack Company)
• Jackson Implants & Periodontics
• Jackson OB/GYN
• Jackson Opco, LLC (Regency at Jackson)
• Jackson Orthopaedic Care & Surgery, P.C.
• Jackson Orthopaedic Care & Surgery, P.C.
• Jackson Orthopedic Specialist

• Obstetrics & Gynecology Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.