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

Jackson R Lanphear, MD

Individual provider Emergency Medicine Physician · NPI 1326230186

Jackson R Lanphear, MD is an Emergency Medicine in Grand Rapids, Michigan. Graduated from Wayne State University School of Medicine in 2007, 19 years ago. Practices with Visionary Medical Services, PC, a 63-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
19
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2007
Specialties on file
4
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

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (616) 391-1680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4301090706 (MI)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 4301090706 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4301090706 (MI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 4301090706 (MI)

Record details

NPI number1326230186
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 15, 2007
Last updated in NPPESJune 22, 2012
Mailing address2537 Momentum Pl, Suite 200, Chicago, IL 60689-5325

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Visionary Medical Services, Pc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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