JOHN A JACKSON


Address: 1055 N Curtis Rd, Boise, ID 83706-1309
Phone: 2083672161

JOHN A JACKSON (NPI# 1063454122) 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) 1063454122
Entity Type Individual
Full Name JOHN A JACKSON
Credential M.D.
Practice Address 1055 N Curtis Rd
Boise
ID 83706-1309
Mailing Address Po Box 9649
Boise
ID 83707-4649
Practice Telephone 2083672161
Mailing Telephone 2084728100
Mailing Fax Number 2084728172
Enumeration Date 2006-06-12
Last Update Date 2011-10-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
M8926 ID Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ID 806864300 05

Other Providers JOHN JACKSON

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1063073310 John Jackson Speech-Language Pathologist 2143 Mohawk Trl, Maitland, FL 32751-3950 2019-06-27
1992202832 John Jackson Physical Therapy Assistant 209 Lake St, Chittenango, NY 13037-1518 2018-04-08
1063911105 John Martin Jackson Physical Therapy Assistant 11118 Lantern Way, North Chesterfield, VA 23236-3575 2018-02-05
1184164493 John Jackson Emergency Medical Technician, Paramedic 137 S Newport Ave, Newport, WA 99156-1942 2017-03-06
1508236837 John Willard Jackson Anesthesiology 7857 Caruth Ct, Dallas, TX 75225-8133 2015-09-29
1043572035 John Ferndale Jackson Behavioral Analyst 931 Azure Heights Place, Las Vegas, NV 89110 2012-06-14
1679830558 John Michael Jackson Pharmacist 1000 Castlebay, Cincinnati, OH 45245-4910 2012-04-18
1013043553 John Phillip Jackson Occupational Therapist 7810 Avenue U Apt B, Lubbock, TX 79423-2430 2007-02-26
1275673451 John W Jackson Pharmacist 1667 Bellemeade Dr, Altoona, PA 16602-7402 2007-02-07

Office Location

Street Address 1055 N CURTIS RD
City BOISE
State ID
Zip Code 83706-1309

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235122284 Christopher Jay Sjoberg Nurse Practitioner 1055 N Curtis Rd, Boise, ID 83706-1309 2005-08-24
1689287021 Brian Jones Nurse Anesthetist, Certified Registered 1055 N Curtis Rd, Boise, ID 83706-1309 2020-08-25
1346868759 Rhianna Wallace Occupational Therapist 1055 N Curtis Rd, Boise, ID 83706-1309 2020-07-12
1447877824 Chelsea Zipse Pharmacist 1055 N Curtis Rd, Boise, ID 83706-1309 2020-07-01
1770105181 Eric Munoz Quiroz Pharmacist 1055 N Curtis Rd, Boise, ID 83706-1309 2020-05-08
1477197036 Megan Lenkersdorfer Hospitalist 1055 N Curtis Rd, Boise, ID 83706-1309 2019-11-06
1104477967 Paul David Cochran Nurse Anesthetist, Certified Registered 1055 N Curtis Rd, Boise, ID 83706-1309 2019-09-24
1649820259 Monica Marie Mclain Pharmacist 1055 N Curtis Rd, Boise, ID 83706-1309 2019-09-16
1619526613 Calan Szmyd Genetic Counselor, MS 1055 N Curtis Rd, Boise, ID 83706-1309 2019-09-11
1922650613 Allison A. Martinez Nurse Anesthetist, Certified Registered 1055 N Curtis Rd, Boise, ID 83706-1309 2019-07-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164993010 Brette Marie Stephenson Counselor 1529 Belmont St., Boise, ID 83706 2018-12-17
1295249241 Boise of Cascadia, LLC Skilled Nursing Facility 6000 W. Denton St., Boise, ID 83706 2017-11-29
1174035638 Zacharia Njoroge Physician Assistant 1055 N Curtis Rd 6th Floor, Boise, ID 83706 2017-10-24
1740708965 Total Renal Care Inc Clinic/Center 1070 N Curtis Rd Ste 125, Boise, ID 83706 2017-09-08
1023532173 Amber Frisch Massage Therapist 2509 S Gekeler Lane, Boise, ID 83706 2017-07-31
1952768145 Katie Garcin Specialist 1407 E Boston Dr, Boise, ID 83706 2016-01-20
1770950677 Kathryn Bender Counselor 1205 N Garden St, Boise, ID 83706 2015-08-26
1457751802 Sabrina Shumar Physician Assistant 901 N Curtis Rd Ste 501, Boise, ID 83706 2014-09-03
1831525070 Katie Joy Wilson Social Worker 333 W. Rossi St. #300, Boise, ID 83706 2013-09-19
1609208610 Christine Lea Eden Surgery 1075 N Curtis Rd Ste 101, Boise, ID 83706 2013-07-31
Find all providers in zip 83706

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376920553 Creighton Lewis Radiology 500 West Fort St. #111r, Boise Vamc, Boise, ID 83702 2015-04-27
1295926061 Michael Modica Radiology 877 W Main St, Suite 603, Boise, ID 83702-5883 2007-08-07
1346457298 John Charles Kirkham Radiology 115 W Main St Ste 202, Boise, ID 83702-7303 2007-05-17
1811046386 Frank J Daniels Radiology 5122 S Surprise Way Apt 202, Boise, ID 83716-9050 2007-01-10
1821039025 Michael J Ryan Radiology 232 S Whisperwood Way, Boise, ID 83709-4900 2006-06-09
1679513303 Intermountain Medical Imaging LLC Radiology 161 E Mallard Dr, Suite 120, Boise, ID 83706-5015 2006-06-08
1669423679 Intermountain Medical Imaging LLC Radiology 927 W Myrtle St, Boise, ID 83702-7061 2006-05-15
1174589543 Laura M Wike Radiology 2517 N Cisco Ln, Boise, ID 83702-5502 2006-04-25
1922077635 Ryan Slaughter Radiology 907 Harrison Blvd, Boise, ID 83702-4052 2006-03-15
1336554740 Geoffry De Gennaro Jr. Radiology 190 E Bannock St, Boise, ID 83712-6241 2014-06-24
Find all providers in BOISE

Competitor

Search similar providers

City BOISE
Zip Code 83706

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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