Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Edward Jacobson, MD

Individual provider Orthopaedic Surgery of the Spine Physician · NPI 1053561449

Dr. Mark Edward Jacobson, MD is an Orthopedic Surgery in Royal Oak, Michigan. Graduated from Wayne State University School of Medicine in 2008, 18 years ago. Practices with Henry Ford Semi Medical Group, a 253-clinician group, works from 11 locations and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
18
Trained at
Wayne State University School of Medicine
Licensed in
MI, OH
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

30575 Woodward Ave Ste 100
Royal Oak, MI 48073-0986
Phone: (248) 280-8550
Fax: (844) 266-0093
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (10)

  • 17877 W 14 Mile Rd, Beverly Hills, MI 48025-3127 — (248) 644-3920
  • 24255 W 13 Mile Rd Ste 100, Bingham Farms, MI 48025-4345 — (248) 988-8085
  • 26750 Providence Pkwy Ste 220, Novi, MI 48374-1212 — (248) 596-0412
  • 3535 W 13 Mile Rd Ste 742, Royal Oak, MI 48073-6770 — (248) 551-9100
  • 45816 Schoenherr Rd, Shelby Twp, MI 48315-6028 — (586) 842-2400
  • 26025 Lahser Rd Fl 2, Southfield, MI 48033-2606 — (248) 663-1900
  • 4967 Crooks Rd Ste 100, Troy, MI 48098-5812 — (248) 846-8060
  • 1350 Kirts Blvd Ste 160, Troy, MI 48084-4852 — (248) 244-9426
  • 4550 Investment Dr Ste 100, Troy, MI 48098-6334 — (248) 265-4600
  • 33200 W 14 Mile Rd Ste 220, West Bloomfield, MI 48322-3586 — (248) 855-7400

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X · Licence 4301105117 (MI)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 57.014767 (OH)

Record details

NPI number1053561449
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 23, 2008
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address26211 Central Park Blvd Ste 201, Southfield, MI 48076-4158

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Henry Ford Semi Medical Group — 253 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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