Jared Emerson, DO

Pediatrics Physician · Southgate, MI

Individual Active NPI

NPI number 1629768916

Practice location

15777 Northline Rd
Southgate, MI 48195-2385
Phone
(734) 246-8100

Open in Google Maps

NPI record

NPI
1629768916
Entity type
Individual (Type 1)
Enumeration date
May 10, 2023
Last updated
June 27, 2026
Certified
June 27, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 5151016183 MI

About Dr. Emerson

Jared Emerson, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 15777 Northline Rd, Southgate, MI 48195-2385. The NPI number 1629768916 was assigned on May 10, 2023 and the record was last updated on June 27, 2026.

Dr. Emerson lists a license in the registry: #5151016183 (MI) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jared Emerson, DO?

The NPI number is 1629768916.

What is the phone number of Dr. Emerson?

The phone number listed for the practice location is (734) 246-8100.

Where is Dr. Emerson located?

15777 Northline Rd, Southgate, MI 48195-2385.

What is the taxonomy code for Dr. Emerson?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pediatrics Physician providers in Southgate

All Pediatrics Physician providers in Southgate, MI →