Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306914296 Individual Practitioner Female Practitioner

Dr. Kathy Jo Jackson , MD

Pediatrics • Kalamazoo, MI

Professional Overview & Biography Verified Profile Summary

Dr. Kathy Jackson, MD is a registered healthcare professional specializing in Pediatrics in Kalamazoo, MI. Practice services are available at 117 W PATERSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

117 W Paterson St

Kalamazoo, MI 490072557

Telephone 2693492641
Fax 2693492898
Associated Practice Facility / Clinic
🏢 Family Health Center, Inc Facility NPI 1326102385

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Kalamazoo, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.9 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
60 Specialists

Practicing in Kalamazoo, 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

CMS Verified: 2022-12-27
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 070748

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
104509048 (MI)

Secondary Practice Locations

505 E Alcott St

Kalamazoo, MI 490016144

Phone: 2693492641

Practice Associates & Co-Workers

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

40 Associated Practitioners
Susan Perez , NP

Nurse Practitioner - Pediatrics

NPI 1013163047

Nurse Practitioner

Katie Manuel , LMSW

Social Worker - Clinical

NPI 1013207828

Licensed Master Social Worker

Daniel Hodge , NP

Nurse Practitioner - Primary Care

NPI 1023484235

Nurse Practitioner

Allison Gilchrist , CHW

Community Health Worker

NPI 1023873312
Kristin Tabiadon , LMSW, CAADC

Social Worker - Clinical

NPI 1033419593

Licensed Master Social Worker, CAADC

Mosab Aziz , OT

Occupational Therapist

NPI 1053977637

Occupational Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 117 W PATERSON ST, KALAMAZOO, MI 490072557 (Tel: 2693492641)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1003 PINEHURST BLVD, KALAMAZOO, MI 490062110 (Tel: 2693492641)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KATHY JACKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #070748 in MI)

🟢
Initial NPI Registration & Enumeration December 01, 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: 1306914296
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2006
Last Update: December 27, 2022
Sole Proprietor: No

Mailing Address

1003 Pinehurst Blvd

Kalamazoo, MI 490062110

Phone: 2693492641

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.