MR. CHARLES D JACKSON


Address: 4856 W.12th, Suite 1, Cleveland, OH 44109-3424
Phone: 4407493019

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172A00000X Driver RS884250 OH Other Service Providers

Other Providers CHARLES JACKSON

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

Office Location

Street Address 4856 W.12TH
SUITE 1
City CLEVELAND
State OH
Zip Code 44109-3424

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 172A00000X
Grouping Other Service Providers
Classification Driver

Taxonomy Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City CLEVELAND
Zip Code 44109

Improve Information

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Dataset Information

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.

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