Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437174638 Individual Practitioner Male Practitioner

Dr. Philip Jackson , MD

Pediatrics • Inkster, MI

Professional Overview & Biography Verified Profile Summary

Dr. Philip Jackson, MD is a registered healthcare professional specializing in Pediatrics in Inkster, MI. Practice services are available at 2500 HAMLIN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2500 Hamlin Dr

Inkster, MI 481412348

Telephone 3135615100
Fax 3135650309
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Inkster, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Inkster, MI (2263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301025901

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4737508 (MI)
Medicaid State Provider ID
4859153 (MI)
Commercial Insurance / Payer ID Bcn Blue Choice Fenton
350D410030 (MI)
Commercial Insurance / Payer ID Bcbsm
700H228520 (MI)
Commercial Insurance / Payer ID Npi
1437174638 (MI)
Commercial Insurance / Payer ID Health Plus Mmmi
0994622 (MI)
Commercial Insurance / Payer ID Mclaren Health Plan Han
1020381 (MI)
Commercial Insurance / Payer ID Bcbs Mmmi
350D410030 (MI)
Commercial Insurance / Payer ID Mcare Mmmi
17572 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Fred Durham

Psychologist - Cognitive & Behavioral

NPI 1003631433
Jeremy Diehl , CHW

Community Health Worker

NPI 1023904471
Luis Campos , CHW

Community Health Worker

NPI 1033089164
NPI 1033614300

Doctor of Osteopathic Medicine (D.O.)

Marcel Beltre Medina

Community Health Worker

NPI 1043992589
NPI 1073760088

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 21, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2009

Registered at 2500 HAMLIN DR, INKSTER, MI 481412348 (Tel: 3135615100)

📍
Updated Business Mailing Address October 21, 2009

Registered at 26650 EUREKA RD, SUITE C-1, TAYLOR, MI 481804835 (Tel: 7349414991)

👤
Provider Name / Credentials Updated October 21, 2009

Recorded as PHILIP JACKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2009

Pediatrics (License #4301025901 in MI)

🟢
Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437174638
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2006
Last Update: October 21, 2009
Sole Proprietor: No

Mailing Address

26650 Eureka Rd, Suite C-1

Taylor, MI 481804835

Phone: 7349414991

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.