DR. AMIE ELISSA JACKSON (NPI# 1023246949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023246949 |
| Entity Type | Individual |
| Full Name | DR. AMIE ELISSA JACKSON |
| Credential | MD |
| Practice Address |
5520 Cheviot Rd Cincinnati OH 45247-7069 |
| Mailing Address |
4685 Forest Ave Ste C Cincinnati OH 45212-3397 |
| Practice Telephone | 5134514033 |
| Mailing Telephone | 5138534721 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2015-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2009014806 | MO | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
35.123128 | OH | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
55653 | MN | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
106237 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | ENROLLED | 05 | |
| SD | ENROLLED | 05 | |
| IA | ENROLLED | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1679053821 | Amie Jackson | Registered Nurse | 6460 Harrison Ave, Cincinnati, OH 45247-7957 | 2018-08-17 |
| Street Address |
5520 CHEVIOT RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45247-7069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164415329 | Leanne S Budde | Internal Medicine | 5520 Cheviot Rd, Cincinnati, OH 45247-7069 | 2005-08-23 |
| 1629569074 | Denise Virginia Johnson | Physical Therapist | 5520 Cheviot Rd, Cincinnati, OH 45247 | 2018-05-22 |
| 1982112082 | Nancy W Schmidt | Dietitian, Registered | 5520 Cheviot Rd, Cincinnati, OH 45247-7069 | 2018-01-11 |
| 1215448832 | Heather M Bennett | Nurse Practitioner | 5520 Cheviot Rd, Cincinnati, OH 45247-7069 | 2017-10-23 |
| 1467994525 | Tiffany Sparhawk | Nurse Practitioner | 5520 Cheviot Rd, Cincinnati, OH 45247-7069 | 2016-11-07 |
| 1164838702 | Sapna Fitch | Physician Assistant | 5520 Cheviot Rd, Cincinnati, OH 45247-7069 | 2014-07-03 |
| 1326391509 | Kelly Ann Corcoran | Physician Assistant | 5520 Cheviot Rd, Cincinnati, OH 45247 | 2012-10-24 |
| 1972856789 | Kathi Eileen Reynolds | Clinical Nurse Specialist | 5520 Cheviot Rd, Cincinnati, OH 45247-7069 | 2012-10-17 |
| 1932455896 | Samer Alsidawi | Internal Medicine | 5520 Cheviot Rd, Cincinnati, OH 45247-7069 | 2012-07-30 |
| 1699030130 | Gretchen Todd | Clinical Nurse Specialist | 5520 Cheviot Rd, Cincinnati, OH 45247-7069 | 2012-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194368118 | Kimberly Carol Downs | Licensed Practical Nurse | 6460 Harrison Avenue, Cincinnati, OH 45247 | 2019-10-22 |
| 1487130100 | Stacey G Coleman | Counselor | 6860 Harrison Ave, Suite 200, Cincinnati, OH 45247 | 2018-07-16 |
| 1922526524 | Tawnya Mcnulty | Occupational Therapy Assistant | 6165 Taylor Road, Cincinnati, OH 45247 | 2017-09-02 |
| 1942733704 | Mary Kathleen Herman | Dentist | 8111 Cheviot Rd Ste 102, Cincinnati, OH 45247 | 2017-04-09 |
| 1831501287 | Cesar Mel Froilan Cabigon | Internal Medicine | 8132 Fawn Lake Ct Loc 251, Cincinnati, OH 45247 | 2014-05-20 |
| 1447699459 | Mullaney Medical, Inc | Durable Medical Equipment & Medical Supplies | 5907 Cheviot Rd, Cincinnati, OH 45247 | 2013-06-24 |
| 1891035994 | Tara Mcintosh | Pharmacist | 6552 Harrison Rd, Cincinnati, OH 45247 | 2013-02-26 |
| 1629353677 | Teresa Zuidema | Pharmacist | 5403 North Bend Ave., Cincinnati, OH 45247 | 2011-10-20 |
| 1982842159 | Timothy John Kreimer | Dentist | 3560 Blue Rock Rd, Cincinnati, OH 45247 | 2009-01-27 |
| 1437219961 | Donald R Murdock | Dentist | 5420 North Bend Rd, Cincinnati, OH 45247 | 2006-12-12 |
| Find all providers in zip 45247 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508959784 | Yu-hwa Peter Sheng | Internal Medicine | 8280 Montgomery Rd Ste 100, Cincinnati, OH 45236-6101 | 2006-10-02 |
| 1194765800 | Kurt P Leuenberger | Internal Medicine | 3301 Mercy Health Blvd Ste 100, Cincinnati, OH 45211-1108 | 2006-06-08 |
| 1689629156 | Oncology/ Hematology Care, Inc | Internal Medicine | 2450 Kipling Ave Ste 111, Cincinnati, OH 45239-6699 | 2006-05-23 |
| 1821084088 | Cincinnati Hematology-oncology, Inc | Internal Medicine | 2727 Madison Rd, Suite 400, Cincinnati, OH 45209-2276 | 2005-09-23 |
| 1407840812 | Mary Ellen K Mccullough | Internal Medicine | 5525 Marie Ave, Cincinnati, OH 45248-3200 | 2005-08-31 |
| 1669465910 | Oncology/ Hematology Care, Inc. | Internal Medicine | 5310 Rapid Run Rd, Cincinnati, OH 45238-4244 | 2005-08-23 |
| 1720082472 | Oncology/ Hematology Care, Inc. | Internal Medicine | 4777 E Galbraith Rd Ste 320, Cincinnati, OH 45236-2725 | 2005-06-10 |
| 1063416808 | Oncology Hematology Care, Inc. | Internal Medicine | 4350 Malsbary Rd, Cincinnati, OH 45242-5621 | 2005-06-09 |
| 1033112693 | Oncology-hematology Care Inc | Internal Medicine | 8000 5 Mile Rd, Ste 100, Cincinnati, OH 45230-2163 | 2005-05-27 |
| 1740785179 | Eric J Vick | Internal Medicine | 234 Goodman St, Cincinnati, OH 45219-2364 | 2018-03-27 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45247 |
Please comment or provide details below to improve the information on DR. AMIE ELISSA JACKSON.
| 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.