PETER L JEBSON MD NPI 1760578553

NPI Information

  • NPI: 1760578553
  • Provider Name: PETER L JEBSON, MD
  • Classification: Orthopaedic Surgery - 207XS0106X
  • Specialization: Hand Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4100 LAKE DR SE
    STE. 300
    GRAND RAPIDS, MI
    ZIP 49546
  • Phone: (616) 267-8860

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NPI Details

Peter L Jebson, MD is a hand surgery orthopaedic surgery in Grand Rapids, MI. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. Peter L Jebson, MD NPI is 1760578553. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4100 LAKE DR SE
STE. 300
GRAND RAPIDS, MI
ZIP 49546-292
Phone: (616) 267-8860
Fax: (616) 267-8442

The NPI 1760578553 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 11/13/2014.

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 Surgery4301069004MICHIGANNo
2207XS0106XOrthopaedic SurgeryHand Surgery4301069004MICHIGANYes

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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