DR. THOMAS L JACKSON


Address: 2450 N Park Dr, Columbus, IN 47203-2216
Phone: 8123768997

DR. THOMAS L JACKSON (NPI# 1154308997) 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) 1154308997
Entity Type Individual
Full Name DR. THOMAS L JACKSON
Credential M.D.
Practice Address 2450 N Park Dr
Columbus
IN 47203-2216
Mailing Address 2450 N Park Dr
Columbus
IN 47203-2292
Practice Telephone 8123768997
Practice Fax Number 8123735323
Mailing Telephone 8123768997
Mailing Fax Number 8123735323
Enumeration Date 2005-12-22
Last Update Date 2010-08-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 01046379A IN Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN STATE LICENSE NUMBER 01046379A 01
IN 200134430B 05

Other Providers THOMAS JACKSON

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1851628549 Thomas W Jackson Dentist 8160 Perry Hwy, Pittsburgh, PA 15237-5214 2009-11-17
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1528181666 Thomas Burton Jackson Psychiatry & Neurology 41750 Rancho Las Palmas Dr Ste D2, Rancho Mirage, CA 92270-5512 2007-04-06
1992827398 Thomas Jackson Social Worker 228 Maple St, Middlebury, VT 05753-1606 2007-04-04
1528117306 Thomas Boyd Jackson Social Worker 5225 Baysdon Cir, Jackson Consultant Services, LLC, Indianapolis, IN 46235-6040 2007-01-09
1245330950 Thomas E Jackson Internal Medicine 47 Maple St #205, Summit, NJ 07901 2006-09-23
1679590137 Thomas W Jackson Psychiatry & Neurology 3010 Beard Rd., Napa, CA 94558 2006-07-17
1306818968 Thomas Cozatt Jackson Jr. Family Medicine 470 Linden Ave, Harrodsburg, KY 40330-1871 2006-02-07

Office Location

Street Address 2450 N PARK DR
City COLUMBUS
State IN
Zip Code 47203-2216

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356369219 Physician Practice Organization Obstetrics & Gynecology 2450 N Park Dr, Ste A, Columbus, IN 47203-2216 2006-07-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649767955 Sean Meador Pharmacist 3630 31st Street, Columbus, IN 47203 2018-04-23
1013319367 Sandra Smith Nurse Practitioner 2329 North Marr Road, Wow Clinic, Columbus, IN 47203 2014-09-18
1174939680 Hana Hoffman Occupational Therapist 2625 Foxpointe Dr., Suite A, Columbus, IN 47203 2014-07-03
1801219209 Michelle Ann Ballard Alzheimer Center (Dementia Center) 2564 Foxpointe Drive, Keepsake Village, Columbus, IN 47203 2014-01-22
1639454606 Jaime Denise Miller Physical Therapist 2625 Foxpointe Dr. 3a, Columbus, IN 47203 2011-10-20
1538443155 Jessica Paige Laymon Social Worker 1680 Whitney Court, Columbus, IN 47203 2011-09-30
1720375124 Hannah C Burke Physical Therapist 2625 Foxpointe Dr, Columbus, IN 47203 2011-07-06
1033419437 Patricia J. Lisinski Physician Assistant 2510 Sandcrest Drive, Columbus, IN 47203 2010-11-01
1245495175 David Brent Gadberry Registered Nurse 2122 Sumpter Trl, Columbus, IN 47203 2008-07-21
1710003231 Ellen H Rudolph Dentist 3200 Sycamore Ct. Suite 1-c, Columbus, IN 47203 2007-03-22
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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1306481676 Big Heads Barber Salon Specialist 6161 Busch Blvd Ste 56, Columbus, OH 43229-2548 2019-11-11
1538723945 Nakia Frazier Specialist 4913 Festival St, Columbus, GA 31907-6065 2019-05-01
1033772868 Kimberly Gore Salon Inc Specialist 2534 Wynnton Rd Ste B, Columbus, GA 31906-2180 2019-04-17
1184108375 Crystal Denise Allen Specialist 3029 Cleveland Ave, Columbus, OH 43224-4421 2018-09-24
1770074445 Robert Tavani Specialist 1203 E Broad St, Columbus, OH 43205-1404 2018-05-29
1689191991 Columbus Tutoring Services, LLC Specialist 2700 E Main St Ste 211, Columbus, OH 43209-2536 2017-08-28
1265985352 Tim Jones Specialist 1527 Eastmeadow Pl, Columbus, OH 43235-7535 2016-07-26
1790148849 Gabriel Woon Specialist 913 25th St., Columbus, IN 47201 2016-04-05
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Competitor

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City COLUMBUS
Zip Code 47203

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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