JACKSON ORTHOPAEDIC CARE & SURGERY, P.C. (NPI# 1649341876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649341876 |
| Entity Type | Organization |
| Organization Name | JACKSON ORTHOPAEDIC CARE & SURGERY, P.C. |
| Practice Address |
200 Summit Ave Suite A Jackson MI 49201-2464 |
| Mailing Address |
3816 Momentum Pl Chicago IL 60689-5338 |
| Practice Telephone | 5177841495 |
| Practice Fax Number | 5177841051 |
| Mailing Telephone | 5177841495 |
| Mailing Fax Number | 5177841051 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2015-04-03 |
| Authorized Official Name | DR. KHAWAJA HAROUN IKRAM (PRESIDENT) |
| Authorized Official Telephone | 5177841495 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 5101010754 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1881775708 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609087626 | Jackson Orthopaedic Care & Surgery, P.C. | Durable Medical Equipment & Medical Supplies | 200 Summit Ave, Suite A, Jackson, MI 49201-2464 | 2007-05-24 |
| Street Address |
200 SUMMIT AVE SUITE A |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-2464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740733419 | Plymouth Physical Therapy Specialists Limited Partnership | Physical Therapist | 200 Summit Ave, Suite C, Jackson, MI 49201-2464 | 2016-07-29 |
| 1699149773 | Hope Urgent Care Jackson | Clinic/Center | 200 Summit Ave, Jackson, MI 49201-2464 | 2015-11-30 |
| 1609087626 | Jackson Orthopaedic Care & Surgery, P.C. | Durable Medical Equipment & Medical Supplies | 200 Summit Ave, Suite A, Jackson, MI 49201-2464 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427614916 | Nord Regenerative Sports Medicine, LLC | Orthopaedic Surgery | 2025 Greystone Sq, Jackson, TN 38305-3576 | 2019-05-10 |
| 1760774616 | Nicholas Vance | Orthopaedic Surgery | 569 Skyline Dr Ste 100, Jackson, TN 38301-3911 | 2011-05-11 |
| 1578892972 | L.f.kroner IIi Md PC | Orthopaedic Surgery | 3950 Trail Dr, Jackson, WY 83001-9287 | 2009-12-14 |
| 1972735025 | Sreenivasa Reddy Alla | Orthopaedic Surgery | 726 Highway 11 N, Suite 5, Jackson, KY 41339 | 2009-08-21 |
| 1841411790 | David John Gandy | Orthopaedic Surgery | 971 Lakeland Dr Ste 950, Jackson, MS 39216-4608 | 2007-05-01 |
| 1760521702 | David Khoury Iv | Orthopaedic Surgery | Teton Orthopaedics, 555 E. Broadway, Jackson, WY 83001 | 2007-02-06 |
| 1487720355 | Alabama Orthopaedic Clinic, PC | Orthopaedic Surgery | 220 Hospital Ave, Jackson, AL 36545 | 2006-11-24 |
| 1720157274 | Raymond Hamel Pierson | Orthopaedic Surgery | 813 Court St Ste 1, Jackson, CA 95642-2131 | 2006-11-07 |
| 1952487001 | William C Neal, M.d. Pllc | Orthopaedic Surgery | 945 West Braodway, Suite 202, Jackson, WY 83001-7369 | 2006-10-31 |
| 1881775708 | Khawaja Haroun Ikram | Orthopaedic Surgery | 200 Summit Ave Ste A, Jackson, MI 49201-2465 | 2006-10-18 |
| Find all providers in JACKSON | ||||
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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.