DR. DESMOND ALEXANDER JACKSON (NPI# 1043650765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043650765 |
| Entity Type | Individual |
| Full Name | DR. DESMOND ALEXANDER JACKSON |
| Credential | M.D. |
| Practice Address |
501 S Drake Rd Kalamazoo MI 49009-3234 |
| Practice Telephone | 2693445552 |
| Mailing Telephone | 2693445552 |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2018-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 57.027945 | OH | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 4301103154 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
4301103154 | MI | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
430113154 | MI | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
430110154 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OH | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 S Drake Rd, Kalamazoo, MI 490093234 | 2693445552 |
| Street Address |
501 S DRAKE RD |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49009-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154359149 | Ely Shapiro | Otolaryngology | 501 S Drake Rd, Kalamazoo, MI 49009-3234 | 2006-06-29 |
| 1639616154 | Jodi Wespinter | Audiologist | 501 S Drake Rd, Kalamazoo, MI 49009-3234 | 2017-01-22 |
| 1962873828 | Theresa Jordan Meinert | Audiologist | 501 S Drake Rd, Kalamazoo, MI 49009-3234 | 2015-10-16 |
| 1285071589 | Rose A Gilani | Audiologist | 501 S Drake Rd, Kalamazoo, MI 49009-3234 | 2013-05-28 |
| 1619249752 | Jacqueline Yvette Taylor | Audiologist | 501 S Drake Rd, Kalamazoo, MI 49009-3234 | 2012-02-06 |
| 1053589960 | Paragon Health PC | Otolaryngology | 501 S Drake Rd, Kalamazoo, MI 49009-3234 | 2008-02-13 |
| 1639361496 | Adult & Pediatric Ear, Nose & Throat Plc | Specialist | 501 S Drake Rd, Kalamazoo, MI 49009-3234 | 2007-08-15 |
| 1003831298 | Martin Joseph Clinard | Physician Assistant | 501 S Drake Rd, Kalamazoo, MI 49009-3234 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
| 1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
| 1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
| 1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
| Find all providers in zip 49009 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407084064 | Davi Ponte De Sa Leitao | Internal Medicine | 2889 S 11th St, Kalamazoo, MI 49009-2123 | 2009-06-22 |
| 1952342867 | Andrew Daugavietis | Internal Medicine | 1631 Gull Rd, Kalamazoo, MI 49048-1649 | 2006-06-10 |
| 1841255239 | Rheumatology PC | Internal Medicine | 2889 South 11th St, Kalamazoo, MI 49009-2123 | 2006-04-19 |
| 1851393797 | Timothy Joseph Swartz | Internal Medicine | 555 W Crosstown Pkwy, Suite 201, Kalamazoo, MI 49008 | 2005-08-11 |
| 1356434963 | James Taborn | Internal Medicine | 1717 Shaffer Street, Suite 124, Kalamazoo, MI 49048 | 2006-10-02 |
| 1275533986 | Fadi M Ajine | Internal Medicine | 601 John St, Suite M030, Kalamazoo, MI 49007-5341 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538655469 | American Arthritis & Rheumatology Associates Mi Pllc | Internal Medicine | 1669 Hamilton Rd Ste 200, Okemos, MI 48864-1961 | 2018-07-03 |
| 1033413661 | Rheumatology PC | Internal Medicine | 360 E Chicago St Ste 111, Coldwater, MI 49036-2086 | 2010-12-22 |
| 1295036507 | Arden Gene Alexander | Internal Medicine | 79 Watershore Dr, Muskegon, MI 49444-7746 | 2010-11-03 |
| 1467763201 | Nina Ramessar | Internal Medicine | 3950 Hollywood Rd Ste 288, Saint Joseph, MI 49085-9159 | 2010-06-26 |
| 1275790156 | V Geravipoolvorn Md PC | Internal Medicine | 28345 Utica Rd, Roseville, MI 48066-2566 | 2008-05-19 |
| 1285800268 | Dianne Kay Trudell, Md | Internal Medicine | 5085 W Bristol Rd, Flint, MI 48507-2922 | 2008-04-30 |
| 1295901288 | Jolanta Sobotka-czarnecki Md Pllc | Internal Medicine | G-5085 West Bristol Rd., Flint, MI 48507-2922 | 2008-04-30 |
| 1144411299 | David K. Vallance, M.d., P.C. | Internal Medicine | 3055 Plymouth Rd Ste 102, Ann Arbor, MI 48105-3208 | 2007-08-05 |
| 1518178813 | Lakshmi Kocharla | Internal Medicine | 5800 Foremost Dr Se Ste 202, Grand Rapids, MI 49546-7062 | 2007-05-25 |
| 1023220621 | Howard Duncan | Internal Medicine | G5085 W Bristol Rd, Flint, MI 48507 | 2007-05-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.