What is Larry Jackson's NPI number?

Larry Jackson's National Provider Identifier (NPI) is 1720049349, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Larry Jackson's specialty?

Larry Jackson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Larry Jackson located?

Larry Jackson's practice location on file with NPPES is 6565 W Main St, Kalamazoo, MI 49009-6114.

What is Larry Jackson's phone number?

The practice phone number listed in the NPPES registry for Larry Jackson is (269) 375-0400.

Is Larry Jackson's NPI active?

Yes — Larry Jackson's NPI (1720049349) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Larry Jackson, M.D.

NPI 1720049349 · Family Medicine Physician · Kalamazoo, MI

Larry Jackson, M.D. is a Family Medicine Physician provider in Kalamazoo, MI (NPI 1720049349).

Provider details

NPI number: 1720049349
Entity type: Individual
Primary specialty: Family Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
License: 4301062086 (MI)

Specialties & taxonomies

Family Medicine PhysicianPrimary207Q00000XLicense 4301062086 (MI)
Allopathic & Osteopathic Physicians

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

6565 W Main St

Kalamazoo, MI 49009-6114

Phone: (269) 375-0400

Fax: (269) 372-8484

Street-level locationGet directions

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Mailing address