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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1659590735

Dr. Michael Doniel Jackson, MD is a Physical Medicine and Rehabilitation in Saint Paul, Minnesota. Qualified in 1990, 36 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa and Minnesota.

Years since qualifying
36
Licensed in
IA, MN
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

205 Wabasha St S
Saint Paul, MN 55107-1805
Phone: (952) 967-5584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2910 Westown Pkwy Ste 200, West Des Moines, IA 50266-1332 — (515) 223-7773

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 37998 (MN)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 37062 (IA)

Record details

NPI number1659590735
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 25, 2007
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing address2910 Westown Pkwy Ste 200, West Des Moines, IA 50266-1332

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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