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

Paul Jackson, DO

Individual provider Family Medicine Physician · NPI 1053391342

Paul Jackson, DO is a Family Practice in Livonia, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 1989, 37 years ago. Practices with Vmd Primary Providers Eastern Michigan PC, a 64-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
37
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

17800 Newburgh Rd Ste 103
Livonia, MI 48152-2700
Phone: (734) 464-9540
Fax: (734) 464-0438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101012453 (MI)

Record details

NPI number1053391342
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 20, 2006
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesGENERAL PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1989 (37 years in practice)
Group practice Vmd Primary Providers Eastern Michigan Pc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Livonia