THAD JACKSON (NPI# 1134177108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134177108 |
| Entity Type | Individual |
| Full Name | THAD JACKSON |
| Credential | MD |
| Practice Address |
1700 Ring Rd Elizabethtown KY 42701-9497 |
| Practice Telephone | 2707695551 |
| Mailing Telephone | 2707695551 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2012-05-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 34151 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64065444 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669988879 | Thad Jackson | Counselor | 449 Ben Hur Rd Apt 5106b, Baton Rouge, LA 70820-4144 | 2017-12-26 |
| 1891782421 | Thad M Jackson | Family Medicine | 1010 W North Down River Rd, Grayling, MI 49738-2060 | 2005-09-29 |
| Street Address |
1700 RING RD |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-9497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031941 | Todd Y. Chadwell | Surgery | 1700 Ring Rd, Elizabethtown, KY 42701-9497 | 2005-05-27 |
| 1609399286 | April Diane Brock | Nurse Practitioner | 1700 Ring Rd, Elizabethtown, KY 42701-9497 | 2017-07-25 |
| 1093159303 | Brittany Ewing O'bryan | Urology | 1700 Ring Rd, Elizabethtown, KY 42701 | 2013-04-18 |
| 1093056509 | Carrie E. Filburn | Nurse Practitioner | 1700 Ring Rd, Elizabethtown, KY 42701-9497 | 2013-03-07 |
| 1720308067 | Urology Robotic Specialists LLC | Urology | 1700 Ring Rd, Elizabethtown, KY 42701-9497 | 2010-06-09 |
| 1053638700 | John Morrell Pendleton | Surgery | 1700 Ring Rd, Hardin Memorial Surgical Specialists, Elizabethtown, KY 42701-9497 | 2010-04-21 |
| 1225200520 | Karen J Brunkhorst | Surgery | 1700 Ring Rd, Elizabethtown, KY 42701-9497 | 2008-03-26 |
| 1205007341 | Niall J Harty | Urology | 1700 Ring Rd, Elizabethtown, KY 42701-9497 | 2008-03-17 |
| 1730398165 | Keith Kevin Harmon | Surgery | 1700 Ring Rd, Elizabethtown, KY 42701-9497 | 2007-05-22 |
| 1093929184 | E-town Neurosurgery LLC | Physician Assistant | 1700 Ring Rd, Elizabethtown, KY 42701-9497 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952768384 | Mohamed Maher Hulou | Neurological Surgery | 800 Rose Street Ukmc Department of Neurosurgery Ms 110, Lexington, KY 40536 | 2016-01-15 |
| 1689081895 | Brian Neil Snyder | Neurological Surgery | 800 Rose Street Ms 101, Lexington, KY 40536-0001 | 2014-07-20 |
| 1902240013 | William Lewis Dillen | Neurological Surgery | 800 Rose Street, Ms101, Lexington, KY 40536-0298 | 2013-04-18 |
| 1578819108 | Farhan Arshad Mirza | Neurological Surgery | 800 Rose St # Ms 101, Lexington, KY 40536-0298 | 2012-08-01 |
| 1144584095 | Justin David Hilliard | Neurological Surgery | 740 S Limestone Ky Clinic 401, Lexington, KY 40536 | 2012-06-26 |
| 1952696676 | Nessa S Timoney | Neurological Surgery | 825 2nd Ave Ste C3, Bowling Green, KY 42101-1791 | 2011-06-10 |
| 1124267125 | William E Pearson | Neurological Surgery | 9454 Parks Rd, Utica, KY 42376-9574 | 2009-02-13 |
| 1851542195 | Injury-care Associates and Chiropractic Center of Ky LLC | Neurological Surgery | 3955 Dixie Hwy, Louisville, KY 40216-4166 | 2008-10-06 |
| 1356519508 | Mercy Health Partners - Lourdes Hospital | Neurological Surgery | 1530 Lone Oak Rd., Suite 345, Paducah, KY 42003 | 2008-02-11 |
| 1932384930 | Tann A Nichols | Neurological Surgery | 544 Centre View Blvd, Crestview Hills, KY 41017-3400 | 2008-01-08 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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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.