Jackson Ob/Gyn
Jackson Ob/Gyn is a healthcare organization registered as Specialist in Jackson, MI, holding Type 2 (organization) NPI 1083679971 since 2006. The authorized official on file is Michael Mcdonnell, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083679971 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Ob/Gyn |
| Practice address | 300 W WASHINGTON AVE, STE 60, Jackson, MI, 49201 |
| Phone | 5177870334 |
| Fax | 5177872114 |
| Enumeration date | 2006-04-20 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Michael Mcdonnell |
|---|---|
| Title | Owner |
| Phone | 5177870334 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | MM012522 | MI |
Copy-ready billing details
Provider: Jackson Ob/Gyn NPI: 1083679971 Taxonomy: 174400000X (Specialist) Address: 300 W WASHINGTON AVE, STE 60, Jackson, MI, 49201
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1124016639 | Dana Dewitt | Individual | Family Medicine Physician | Jackson, MI |
| 1336137892 | Robert Robertson | Individual | Family Medicine Physician | Jackson, MI |
| 1245228709 | Michael Mcglynn | Individual | Nurse Practitioner | Jackson, MI |
| 1164412961 | Michael Mcdonnell | Individual | Obstetrics & Gynecology Physician | Jackson, MI |
| 1023065950 | Max Hutton | Individual | Surgery Physician | Jackson, MI |
| 1255371530 | Pamela Peterson | Individual | Acute Care Nurse Practitioner | Jackson, MI |
| 1659382265 | Nicole Reul | Individual | Physician Assistant | Jackson, MI |
| 1326139650 | Timothy Chapel | Individual | Dentist | Jackson, MI |
Verify this record
Cross-check NPI 1083679971 against the authoritative CMS record: view Jackson Ob/Gyn on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Jackson Ob/Gyn located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.