DR. KEVIN T JACKSON (NPI# 1144291907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144291907 |
| Entity Type | Individual |
| Full Name | DR. KEVIN T JACKSON |
| Credential | M.D. |
| Practice Address |
1420 Highway 62 65 N Harrison AR 72601-1959 |
| Practice Telephone | 4797413600 |
| Practice Fax Number | 8707414482 |
| Mailing Telephone | 4797413600 |
| Mailing Fax Number | 8707414482 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2015-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E-2640 | AR | Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| 1225032782 | Kevin Gordon Jackson | Family Medicine | 8111 E Thomas Rd, Ste 124, Scottsdale, AZ 85251-5844 | 2005-06-11 |
| Street Address |
1420 HIGHWAY 62 65 N |
| City | HARRISON |
| State | AR |
| Zip Code | 72601-1959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316433998 | Amanda Jane Winford | Family Medicine | 1420 Highway 62 65 N, Harrison, AR 72601-1959 | 2018-07-06 |
| 1699023895 | Washington Regional Medical System | Internal Medicine | 1420 Highway 62 65 N, Harrison, AR 72601-1959 | 2012-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| Find all providers in zip 72601 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437679651 | Evan Branscum | Family Medicine | 715 W Sherman Ave Ste H, Harrison, AR 72601-2737 | 2017-06-20 |
| 1316326960 | Erik Randall Ewing | Family Medicine | 6800 Harrison Park Drive, Harrison, TN 37341 | 2015-05-28 |
| 1740554948 | North Arkansas Regional Medical Center | Family Medicine | 114 E Crandall Ave Ste C, Harrison, AR 72601-3628 | 2012-03-06 |
| 1871866038 | Washington Regional Medical System | Family Medicine | 715 W Sherman Ave Ste G, Harrison, AR 72601-2737 | 2012-02-20 |
| 1568757730 | Heather Linn Bridges | Family Medicine | 724 N. Spring St, Harrison, AR 72601-2913 | 2011-06-15 |
| 1508087420 | Rita Maureen Girard | Family Medicine | 10450 New Haven Road, Crossroad Health Center, Harrison, OH 45030 | 2007-05-01 |
| 1124108162 | Family Doctors Clinic Pa | Family Medicine | 520 North Spring Street, Harrison, AR 72601-3528 | 2006-10-16 |
| 1811905755 | Sammy Joe Scroggins | Family Medicine | 1002 N Spring St, Harrison, AR 72601 | 2006-08-04 |
| 1972549020 | Ronald R Reese | Family Medicine | 114 E Crandall, Suite C, Harrison, AR 72601-3628 | 2006-06-20 |
| 1982657599 | Sharron J Leslie | Family Medicine | 724 N Spring St., Harrison, AR 72601 | 2006-05-18 |
| Find all providers in HARRISON | ||||
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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.