DR. SHELTON RAY JACKSON (NPI# 1053348631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053348631 |
Entity Type | Individual |
Full Name | DR. SHELTON RAY JACKSON |
Credential | MD |
Practice Address |
4407 87th St Lubbock TX 79424-4229 |
Practice Telephone | 8067830904 |
Practice Fax Number | 8067830904 |
Mailing Telephone | 8067830904 |
Mailing Fax Number | 8067830904 |
Enumeration Date | 2006-06-27 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | F4878 | TX | Allopathic & Osteopathic Physicians |
Street Address |
4407 87TH ST |
City | LUBBOCK |
State | TX |
Zip Code | 79424-4229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
1184245573 | Jim Lee Lowrance | Chiropractor | 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 | 2020-04-27 |
1134787377 | April Denise Gardea | Speech-Language Pathologist | 6502 Slide Road Suite 204, Lubbock, TX 79424 | 2019-06-03 |
1215590658 | April Dawn Fortner | Counselor | 7617 86th St., Lubbock, TX 79424 | 2019-04-22 |
1427514561 | Thornhill Healthcare II, Inc. | Pharmacy | 6823 82nd St, Suite 600, Lubbock, TX 79424 | 2019-02-13 |
1174001358 | Emily Cowell | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424 | 2018-07-31 |
1043718786 | Edward Murphy | Pharmacist | 8702 Toledo Ave, Lubbock, TX 79424 | 2018-01-29 |
1013434364 | Yung Ling Tsai | Specialist/Technologist | 4707 116th Street, Lubbock, TX 79424 | 2017-08-28 |
1285187237 | Wter Quaker, Lp | Clinic/Center | 10205 Quaker Ave, Lubbock, TX 79424 | 2016-07-26 |
Find all providers in zip 79424 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144648700 | Jared Walker | Emergency Medicine | 4110 17th St, Apt. 311, Lubbock, TX 79416-6042 | 2014-04-01 |
1629159603 | Tom R Basye | Emergency Medicine | 7905 Milwaukee Ave, Lubbock, TX 79424-0616 | 2006-10-18 |
1679669089 | Leslie Ralph Shauf | Emergency Medicine | 6505 2nd Street, Lubbock, TX 79416-3709 | 2006-10-04 |
1245252428 | Eldon Stevens Robinson | Emergency Medicine | 2602 50th St, Suite 300, Lubbock, TX 79413-4535 | 2006-07-24 |
1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
1083630610 | Concord Medical Group Pllc | Emergency Medicine | 1602 Avenue Q, Lubbock, TX 79401-4732 | 2006-07-15 |
1629014782 | Rolando N Torio | Emergency Medicine | 5811 - 11 Place, Suite 8, Lubbock, TX 79416 | 2006-06-20 |
1902855653 | Lhh Emergency Physicians Pllc | Emergency Medicine | 4810 N Loop 289, Lubbock, TX 79416-3025 | 2006-05-09 |
1962467761 | Linda Aryain Robins | Emergency Medicine | 4015 22nd Place, Lubbock, TX 79410-1121 | 2006-04-18 |
1619938644 | Kevin Funk | Emergency Medicine | 9306 Utica Dr, Lubbock, TX 79424-4822 | 2006-03-29 |
Find all providers in LUBBOCK |
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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.