OrganizationActive
Jackson Ob/Gyn
NPI 1083679971 · Specialist · Jackson, MI
Provider details
- NPI number
- 1083679971
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Michael Mcdonnell, Owner(517) 787-0334
- License
- MM012522 (MI)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 W Washington Ave
Ste 60
Jackson, MI 49201-2180
Phone: (517) 787-0334
Fax: (517) 787-2114
Street-level locationGet directions
Mailing address
300 W Washington Ave
Jackson, MI 49201-2180
Registry dates
- Enumerated
- 2006-04-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.