JACKSON ORTHOPAEDIC CARE & SURGERY P.C. NPI 1649341876

NPI Information

  • NPI: 1649341876
  • Provider Name: JACKSON ORTHOPAEDIC CARE & SURGERY, P.C.
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Address: 200 SUMMIT AVE
    SUITE A
    JACKSON, MI
    ZIP 49201
  • Phone: (517) 784-1495

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NPI Details

JACKSON ORTHOPAEDIC CARE & SURGERY, P.C. is an orthopaedic surgery in Jackson, MI. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. JACKSON ORTHOPAEDIC CARE & SURGERY, P.C. NPI is 1649341876. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 SUMMIT AVE
SUITE A
JACKSON, MI
ZIP 49201-464
Phone: (517) 784-1495
Fax: (517) 784-1051

The provider's authorized official is Khawaja Haroun Ikram .
The authorized official title is President and has the following contact phone number (517) 784-1495.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 4/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery5101010754MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11881775708MEDICAIDMICHIGAN
2F00565MEDICARE UPINMICHIGAN
30N19800MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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