DR. RICHARD G JACKSON JR. (NPI# 1023080025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023080025 |
Entity Type | Individual |
Full Name | DR. RICHARD G JACKSON JR. |
Credential | M.D, |
Practice Address |
217 S 3rd St Danville KY 40422-1823 |
Mailing Address |
Po Box 30309 Charleston SC 29417-0309 |
Practice Telephone | 8592392220 |
Practice Fax Number | 8592396732 |
Mailing Telephone | 8432843400 |
Mailing Fax Number | 8432843401 |
Enumeration Date | 2006-02-03 |
Last Update Date | 2008-02-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
18160 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 64181605 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629520770 | Richard Allen Jackson | Social Worker | 201 W Laurel St, Brainerd, MN 56401-3902 | 2016-10-25 |
1386924363 | Richard Ray Jackson | Social Worker | 104 S Ridge Ave, Troy, OH 45373-2704 | 2011-08-23 |
1124240197 | Richard Jackson | Psychologist | 2650 West 2700 South, Syracuse, UT 84075 | 2007-05-02 |
1508081993 | Richard Jackson | Psychiatry & Neurology | E 4111 Andover Road Suite 220, Bloomfield Hills, MI 48302 | 2007-04-13 |
1851478101 | Richard Jackson | Pharmacist | 420 Delaware St Se # Mmc812, Minneapolis, MN 55455-0341 | 2006-11-01 |
1972616134 | Richard Pharus Jackson | Optometrist | 216 W Washington St, Anthony, TX 79821-9304 | 2006-08-15 |
1801810163 | Richard Edwin Jackson | Dentist | 109 Timbermill Dr, Lexington, SC 29073-7138 | 2006-07-27 |
1366483406 | Richard D Jackson | Family Medicine | 29 Eastbrook Rd, Ronks, PA 17572-9769 | 2006-06-09 |
1659328060 | Richard Jackson | Emergency Medicine | 505 Regency Xing, Southlake, TX 76092-9501 | 2006-05-30 |
1174587505 | Richard E Jackson | Physician Assistant | 21260 Olean Blvd Ste 200, Port Charlotte, FL 33952-6742 | 2006-04-13 |
Street Address |
217 S 3RD ST |
City | DANVILLE |
State | KY |
Zip Code | 40422-1823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043219835 | Joan Barker Haltom | Pharmacist | 217 S 3rd St, Pharmacy, Danville, KY 40422-1823 | 2005-07-14 |
1841801784 | Empact Midwest LLC | Physician Assistant | 217 S 3rd St, Danville, KY 40422-1823 | 2020-08-13 |
1548880206 | Hillary Hutchison | Registered Nurse | 217 S 3rd St, Danville, KY 40422-1823 | 2020-04-23 |
1346884095 | Jennifer L Devine | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2019-11-05 |
1205309390 | Cortney Renee Conklin | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2019-01-10 |
1659841088 | Andrea Michelle Tompkins | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2018-11-28 |
1376026252 | Michael Kyle Allen | Physician Assistant | 217 S 3rd St, Danville, KY 40422-1823 | 2018-09-07 |
1366938441 | Jordan Brittany Crutchfield | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2018-07-02 |
1780191031 | Hendra Yosia Sitompul | Nurse Anesthetist, Certified Registered | 217 S 3rd St, Danville, KY 40422-1823 | 2018-01-09 |
1023546942 | Beth Ann Burchett | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2017-05-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568098754 | Healthstat Onsite Clinic Centre College | Preventive Medicine | 851 West Walnut St, Danville, KY 40422 | 2020-03-19 |
1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
1033677695 | Shannon Holland Erwin | Counselor | 475 W Main St Suite 160, Danville, KY 40422 | 2019-03-03 |
1225556871 | Fallon Michelle Carnes | Counselor | 106 Belinda Blvd., Danville, KY 40422 | 2017-09-05 |
1780124529 | Natasha Taylor | Counselor | 461 South 4th Street, Danville, KY 40422 | 2017-02-27 |
1184088890 | Elizabeth Love | Counselor | 108 Saint Josephs Ct, Danville, KY 40422 | 2016-04-08 |
1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
1649602228 | Susan Hale Couzens | Dentist | 435 Whirlaway Dr, Danville, KY 40422 | 2013-08-06 |
1265751200 | William Paul Baas | Ophthalmology | 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 | 2010-05-28 |
1780823666 | Karen Totsuka IIi | Speech-Language Pathologist | 642 Nth 3rd St, Danville, KY 40422 | 2009-02-17 |
Find all providers in zip 40422 |
Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932115466 | Jack C. Turner | Pathology | 142 S. Main Street, Danville, VA 24541-2922 | 2006-08-01 |
1538151196 | Hugh Erskine Fraser IIi | Pathology | 212 S Main St, Suite 4, Danville, VA 24541-2924 | 2005-08-19 |
1962991505 | Iman Sarami | Pathology | 100 N Academy Ave, Danville, PA 17822-0001 | 2018-05-09 |
1629344304 | Valerie Lockhart Welch | Pathology | 100 N Academy Ave, Danville, PA 17822-9800 | 2012-03-28 |
1528350923 | Gustaaf Gregoire De Ridder | Pathology | 100 N Academy Ave, Danville, PA 17822-1945 | 2011-05-04 |
1922307131 | Danville Pathologist Billing Company LLC | Pathology | 142 S Main St, Danville, VA 24541-2922 | 2011-03-28 |
1821230897 | Guoli Chen | Pathology | 100 N Academy Ave, Danville, PA 17822-2360 | 2009-04-06 |
1174779680 | Raj K. Rolston | Pathology | 100 N Academy Ave, Danville, PA 17822-0131 | 2008-08-15 |
1720245269 | Jordan Olson | Pathology | 100 North Academy Ave, Danville, PA 17822-0131 | 2008-05-21 |
1174795199 | William Quinones | Pathology | 100 N Academy Ave, Danville, PA 17822-0131 | 2008-03-31 |
Find all providers in DANVILLE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.