DR. KEVIN JOSEPH JACKSON (NPI# 1073586616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073586616 |
| Entity Type | Individual |
| Full Name | DR. KEVIN JOSEPH JACKSON |
| Credential | D.C. |
| Practice Address |
2816 E Market St York PA 17402-2413 |
| Practice Telephone | 7177575731 |
| Practice Fax Number | 7178400437 |
| Mailing Telephone | 7177575731 |
| Mailing Fax Number | 7178400437 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2011-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC004154L | PA | Chiropractic Providers |
| N | 111N00000X | Chiropractor | CH 6129 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK | 689352 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114456498 | Kevin Thomas Jackson | Counselor | 310 S 49th W Ave, Tulsa, OK 74127 | 2017-06-08 |
| 1164845400 | Kevin Jackson Sr. | Counselor | 621 E Carnagie Dr # 210 San Bernardino Ca 92415, San Bernardino, CA 92415-3919 | 2014-01-22 |
| 1932545449 | Kevin D Jackson | Behavioral Analyst | 4060 Old Plantation Loop, Tallahassee, FL 32311-1306 | 2013-05-13 |
| 1174867634 | Kevin D Jackson | Dentist | 8101 Hinson Farm Rd Ste 216, Alexandria, VA 22306-3406 | 2012-11-21 |
| 1366724270 | Kevin R Jackson | Health Educator | 19752 Snowden St, Detroit, MI 48235-1180 | 2011-09-16 |
| 1376838300 | Kevin Jackson | Counselor | 15108 Doveheart Ln, Bowie, MD 20721-3054 | 2011-06-17 |
| 1881724607 | Kevin Carl Jackson | Optometrist | 7828 Eastern Ave Nw, Washington, DC 20012 | 2007-03-07 |
| 1144291907 | Kevin T Jackson | Family Medicine | 1420 Highway 62 65 N, Harrison, AR 72601-1959 | 2006-01-30 |
| 1316938517 | Kevin Lee Jackson | Internal Medicine | 2430 Village Professional Dr, Opelika, AL 36801-2378 | 2005-11-04 |
| 1588654115 | Kevin Michael Jackson | Optometrist | 39-06 Kramer Pl, Fair Lawn, NJ 07410-5311 | 2005-10-25 |
| Street Address |
2816 E MARKET ST |
| City | YORK |
| State | PA |
| Zip Code | 17402-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902879059 | Selina Montoya Sigafoose-jackson | Chiropractor | 2816 E Market St, York, PA 17402-2413 | 2006-02-09 |
| 1558308924 | Sigafoose and Jackson Chiropractic Inc. | Chiropractor | 2816 E Market St, York, PA 17402-2413 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053987 | Hope Renewed Counseling Services LLC | Social Worker | 879 Clare Lane, York, PA 17402 | 2020-05-04 |
| 1912462292 | Andventure, Inc. | Home Health | Andventure, Inc., 3415c Concord Rd., York, PA 17402 | 2019-01-31 |
| 1407327992 | Tariro Manamike | Pharmacist | Weis Markets Pharmacy, 2400 E Market Street, York, PA 17402 | 2018-12-10 |
| 1689120925 | Benjamin Stahle | Emergency Medicine | 70 Locust Grove Road, York, PA 17402 | 2016-08-28 |
| 1275905614 | Ultra Dental I, LLC | Dentist | 233 Pauline Drive, York, PA 17402 | 2015-10-26 |
| 1215323878 | Sonya Maria Korda | Dentist | 332 Shasta Dr., York, PA 17402 | 2015-04-10 |
| 1588909691 | Kimberly Sue Marsico | Counselor | 3110 East Market St, York, PA 17402 | 2012-11-29 |
| 1184995797 | Ivan Lewis Butler | General Practice | 204 St. Charles Way, Unit 364e, York, PA 17402 | 2012-01-13 |
| 1801117783 | Active Life Chiropractic | Chiropractor | 1915 E. Market Street, York, PA 17402 | 2010-06-15 |
| 1578881652 | Oss Orthopaedic Hospital, LLC | General Acute Care Hospital | 1861 Powder Mill Rd., York, PA 17402 | 2010-05-13 |
| Find all providers in zip 17402 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942866504 | Daniel Eichner | Chiropractor | 2820 Whiteford Rd Ste 5, York, PA 17402-7625 | 2019-05-18 |
| 1265838940 | Ferida Khanjani | Chiropractor | 31 Old Post Rd, York, ME 03909-5813 | 2014-11-07 |
| 1417233602 | Susquehanna Valley Chiropractic and Rehabilitation | Chiropractor | 236 N George St, Suite 105, York, PA 17401-1108 | 2011-11-01 |
| 1801117783 | Active Life Chiropractic | Chiropractor | 1915 E. Market Street, York, PA 17402 | 2010-06-15 |
| 1629305198 | Good Chiropractic, P.C. | Chiropractor | 1901 Vicki Dr, York, PA 17403-4260 | 2009-11-04 |
| 1730320037 | Jacquelyn Kyra Dutkiewicz | Chiropractor | 111 Us Route 1, York, ME 03909-5109 | 2009-03-16 |
| 1356502892 | Near Perfect Inc | Chiropractor | 2200 N Susquehanna Trl, York, PA 17404-1652 | 2008-06-18 |
| 1598923682 | Natalie Spagnola | Chiropractor | 2215 East Market Street, York, PA 17403 | 2008-05-27 |
| 1790957942 | Nicole Theresa Eimermann | Chiropractor | 2011 N Lincoln Ave, York, NE 68467-1071 | 2008-03-27 |
| 1134302904 | Ben Krug | Chiropractor | 1728 Old York Rd, York, SC 29745-9458 | 2007-12-14 |
| Find all providers in YORK | ||||
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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.