DAVID M. JACKSON (NPI# 1144364696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144364696 |
| Entity Type | Individual |
| Full Name | DAVID M. JACKSON |
| Credential | MD |
| Practice Address |
9305 W Thomas Rd Ste 305 Phoenix AZ 85037-3328 |
| Mailing Address |
18444 N 25th Ave Ste 310 Phoenix AZ 85023-1261 |
| Practice Telephone | 8669742673 |
| Practice Fax Number | 8669392673 |
| Mailing Telephone | 8669742673 |
| Mailing Fax Number | 8669392673 |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2014-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 49686 | AZ | Other Service Providers |
| N | 207X00000X | Orthopaedic Surgery | 49686 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
49686 | AZ | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
A120606 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 958173 | 05 | |
| AZ | MEDICARE AZ | PENDING | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003456708 | David Jackson | Clinical Neuropsychologist | 6 Parkway North Blvd, Deerfield, IL 60015-2522 | 2020-01-10 |
| 1194160580 | David Huntsman Jackson | Internal Medicine | 3647 Dunbarton Dr, Mountain Brk, AL 35223-2891 | 2013-04-30 |
| 1790089860 | David Creston Jackson | Dentist | 900 Se Ocean Blvd Ste 110b, Stuart, FL 34994-3503 | 2011-01-05 |
| 1851566467 | David Kenneth Jackson | Technician/Technologist | 4200 Elderon Ave, Baltimore, MD 21215-4802 | 2008-04-24 |
| 1275711350 | David Edward Jackson IIi | Massage Therapist | 3321 E 35th Ave, Lake Station, IN 46405-3016 | 2008-01-31 |
| 1548456502 | David Nathan Jackson | Physical Therapist | 7922 S Broadway Ave, Tyler, TX 75703-5242 | 2007-09-23 |
| 1063564748 | David Bruce Jackson | Radiology | 3233 Grand Ave # N415, Chino Hills, CA 91709-1489 | 2007-01-16 |
| 1912079641 | David Christopher Jackson | Chiropractor | 484 Turner Dr, Building E, Suite 103, Durango, CO 81303-7992 | 2006-11-15 |
| 1316017940 | David Isaac Jackson | Counselor | 946 Edgewood Ave, Trenton, NJ 08618-5304 | 2006-11-09 |
| 1629165170 | David Michael Jackson | Dentist | 3550 S 5600 W, Suite 3, West Valley City, UT 84120-2776 | 2006-10-06 |
| Street Address |
9305 W THOMAS RD STE 305 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85037-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467457747 | Mystie L Johnson | Obstetrics & Gynecology | 9305 W Thomas Rd, Ste 155, Phoenix, AZ 85037-3328 | 2005-06-14 |
| 1295219624 | Samantha Albrecht | Nurse Practitioner | 9305 W Thomas Rd, Phoenix, AZ 85037-3328 | 2018-09-21 |
| 1225570732 | Omni Dermatology Estrella LLC | Specialist | 9305 W Thomas Rd, Ste 350, Phoenix, AZ 85037-3328 | 2016-11-15 |
| 1326597444 | Vanessa Breguez Mitchell | Physician Assistant | 9305 W Thomas Rd, Suite 410, Phoenix, AZ 85037-3328 | 2016-09-30 |
| 1912353806 | Center for Orthopedic Research and Education, Inc | Durable Medical Equipment & Medical Supplies | 9305 W Thomas Rd, Suite 275, Phoenix, AZ 85037-3328 | 2016-05-10 |
| 1700270071 | Sarah Francis Debenedetto | Physical Therapist | 9305 W Thomas Rd, Suite 150, Phoenix, AZ 85037-3328 | 2015-03-25 |
| 1881088144 | Keith Butler | Physical Therapist | 9305 W Thomas Rd, Suite 150, Phoenix, AZ 85037-3328 | 2015-03-25 |
| 1366848814 | Tanner Jo Caughey | Physical Therapist | 9305 W Thomas Rd, Suite 150, Phoenix, AZ 85037-3328 | 2014-11-11 |
| 1720403397 | Caroline Seronde | Physical Therapy Assistant | 9305 W Thomas Rd, Ste 150, Phoenix, AZ 85037-3328 | 2014-02-19 |
| 1750702759 | Holly Hussey | Occupational Therapist | 9305 W Thomas Rd, Suite 150, Phoenix, AZ 85037-3328 | 2013-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
| 1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
| 1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
| 1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
| Find all providers in zip 85037 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508364852 | Spine Cin of Phoenix LLC | Orthopaedic Surgery | 2155 W Pinnacle Peak Rd Ste 201a, Phoenix, AZ 85027-1201 | 2018-01-31 |
| 1447758792 | Joint Replacement Cin of Phoenix LLC | Orthopaedic Surgery | 2155 W Pinnacle Peak Rd Ste 201b, Phoenix, AZ 85027-1201 | 2018-01-31 |
| 1144748468 | Emergency Spine, PC | Orthopaedic Surgery | 3101 E Shea Blvd Ste 114, Phoenix, AZ 85028-3209 | 2017-09-07 |
| 1588846851 | Phoenix Spine Consultants Pllc | Orthopaedic Surgery | 19841 N 27th Ave Ste 300a, Phoenix, AZ 85027-4012 | 2007-11-28 |
| 1922104116 | Howard H Ginsburg | Orthopaedic Surgery | 222 West Thomas Road, #307, Phoenix, AZ 85013-4422 | 2006-09-15 |
| 1770524324 | Justin S Field | Orthopaedic Surgery | 1635 E Myrtle Ave Suite 400, Phoenix, AZ 85020-5514 | 2006-06-08 |
| 1548235146 | Jonathan C Landsman | Orthopaedic Surgery | 19636 N 27th Ave Ste 401, Phoenix, AZ 85027-4021 | 2006-02-17 |
| 1437123619 | Richard L. Shindell | Orthopaedic Surgery | 333 E Osborn Rd, #255, Phoenix, AZ 85012-2360 | 2006-02-15 |
| 1356344824 | William Robert Stevens | Orthopaedic Surgery | 3033 N 44th St Ste 100, Phoenix, AZ 85018-7227 | 2005-05-27 |
| 1861861395 | Arizona Spine Specialist Pllc | Orthopaedic Surgery | 1635 E Myrtle Ave Ste 400, Phoenix, AZ 85020-5514 | 2015-09-15 |
| Find all providers in PHOENIX | ||||
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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.