DR. SHELTON RAY JACKSON


Address: 4407 87th St, Lubbock, TX 79424-4229
Phone: 8067830904

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine F4878 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 4407 87TH ST
City LUBBOCK
State TX
Zip Code 79424-4229

Providers in the same zip code

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 Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City LUBBOCK
Zip Code 79424

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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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