MR. CHARLES D JACKSON (NPI# 1043655681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043655681 |
Entity Type | Individual |
Full Name | MR. CHARLES D JACKSON |
Practice Address |
4856 W.12th Suite 1 Cleveland OH 44109-3424 |
Mailing Address |
4856 W 12th St Cleveland OH 44109-5611 |
Practice Telephone | 4407493019 |
Mailing Telephone | 4407493019 |
Enumeration Date | 2013-05-09 |
Last Update Date | 2013-11-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172A00000X | Driver | RS884250 | OH | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457896839 | Charles Jackson | Counselor | 2911 Penick St, Shreveport, LA 71109-4337 | 2016-12-21 |
1437594553 | Charles Jackson | Social Worker | 18712 Quarry St, Riverview, MI 48193-4527 | 2013-05-02 |
1508154105 | Charles Gilbert Jackson Jr. | Psychiatry & Neurology | 88 Crescent St, Northampton, MA 01060-2115 | 2011-07-16 |
1457669848 | Charles Edward Jackson Jr. | Psychologist | 1407 Healing Water Lane, N.las Vegas, NV 89031 | 2010-09-20 |
1588994081 | Charles Dustin Jackson | Counselor | 5004 Nw 26th St, Oklahoma City, OK 73127-1722 | 2010-01-05 |
1508985250 | Charles Arthur Jackson Jr. | Chiropractor | 2455 E Hill Rd, Grand Blanc, MI 48439 | 2007-03-27 |
1760535926 | Charles Jackson | Podiatrist | 820 N Dalmont St, Hobbs, NM 88240-5214 | 2007-01-19 |
1982769840 | Charles Jackson | Dentist | 3540 82nd St, Jackson Heights, NY 11372-5159 | 2006-12-22 |
1437224813 | Charles Wesley Jackson Jr. | Psychologist | 2980 Washington Blvd, Cleveland Heights, OH 44118-2450 | 2006-11-21 |
1306929856 | Charles Russell Jackson | Dentist | 1 Med Center Dirve, Morgantown, WV 26506 | 2006-10-20 |
Street Address |
4856 W.12TH SUITE 1 |
City | CLEVELAND |
State | OH |
Zip Code | 44109-3424 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
Find all providers in zip 44109 |
Taxonomy Code | 172A00000X |
Grouping | Other Service Providers |
Classification | Driver |
A person employed to operate a motor vehicle as a carrier of persons or property. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619501020 | Michelle K Moore | Driver | 4179 Westbrook Dr, Cleveland, OH 44144-1234 | 2020-02-24 |
1154719243 | Sabrina L Kirksey | Driver | 7414 Park Avenue, Cleveland, OH 44105 | 2014-12-26 |
1356757801 | Terewell Harmon | Driver | 2683 W 14th St, Suite 1, Cleveland, OH 44113-5215 | 2014-07-05 |
1720336001 | Ramona Ann Gunn | Driver | 4238 Cricket Ln, Cleveland, OH 44128-2821 | 2012-08-17 |
1750520847 | Rodney Wilson | Driver | 17602 Deforest Ave, Cleveland, OH 44128-2606 | 2009-02-12 |
1841435658 | Timothy James Sharp | Driver | 376 Arbor Rd, Cleveland, OH 44108-1757 | 2008-12-08 |
1629112701 | Ernestine Adams | Driver | 11017 Superior, Cleveland, OH 44106 | 2007-02-20 |
1780751933 | Linda Fay Wooten | Driver | 2259 Spring Place Rd Se, Cleveland, TN 37323 | 2006-11-30 |
1386981272 | Latoya Artisha Reeder | Driver | 16617 Lipton Ave, 16617 Lipton Ave, Cleveland, OH 44128-3615 | 2013-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528254 | Crystal Lynn Carlton | Driver | 463 Regency Park Dr, Tallmadge, OH 44278-1503 | 2020-11-05 |
1578164711 | Alvah Yolanda Hayes | Driver | 1612 33rd St Ne, Canton, OH 44714-1552 | 2020-11-04 |
1184225609 | Michelle Andrea | Driver | 1211 Taft Ave, Cuyahoga Falls, OH 44223-2243 | 2020-11-02 |
1851990501 | Mildred J Yost | Driver | 2275 Greenwich Milan Townline Rd, Norwalk, OH 44857-9509 | 2020-10-23 |
1386242782 | Nicole D Endres | Driver | 109 N Main St Ste 209, Mansfield, OH 44902-7669 | 2020-10-16 |
1114525938 | June Williams | Driver | 1072 Damon Dr, Washington Court House, OH 43160-2474 | 2020-10-14 |
1063010999 | Julia Marie Morris | Driver | 860 Tick Hill Rd, Lowell, OH 45744-7492 | 2020-10-13 |
1548868532 | Mildred Elaine Rose | Driver | 8043 Plainfield Rd, Kimbolton, OH 43749-9736 | 2020-10-13 |
1982202008 | Julie Perry | Driver | 8423 Columbus Rd, Mount Vernon, OH 43050-9366 | 2020-10-12 |
1447858618 | Marc Speakman | Driver | 3911 Mengert Rd, Lucas, OH 44843-9741 | 2020-10-11 |
Find all providers with the same taxonomy |
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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.