FRANK WILSON JACKSON III (NPI# 1164421673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164421673 |
| Entity Type | Individual |
| Full Name | FRANK WILSON JACKSON III |
| Credential | MD |
| Practice Address |
423 N 21st St Suite 100 Camp Hill PA 17011-2207 |
| Practice Telephone | 7177610930 |
| Practice Fax Number | 7177610465 |
| Mailing Telephone | 7177610930 |
| Mailing Fax Number | 7177610465 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD055416L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0016834680003 | 05 | |
| PA | AETNA US HEALTHCARE | 5333615 | 01 |
| PA | RAILROAD MEDICARE | 100012586 | 01 |
| PA | HEALTHAMERICA | G84061 | 01 |
| PA | HIGHMARK BLUE SHIELD | 527552 | 01 |
| PA | CAPITAL BLUE CROSS | 01024101 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548604200 | Frank Kenneth Jackson | Physical Medicine & Rehabilitation | 711 S Cowley St Ste 224, Spokane, WA 99202-1330 | 2013-04-24 |
| 1962479105 | Frank R Jackson | Family Medicine | 805 Medical Circle, Longview, TX 75605 | 2006-03-07 |
| 1265994172 | Frank Ian Jackson | Student in an Organized Health Care Education/Training Program | 114 Woodland St, Hartford, CT 06105-1208 | 2019-04-01 |
| 1427548296 | Frank Vass Jackson IIi | Counselor | 2349 Russellville Rd, Bowling Green, KY 42101-3986 | 2018-05-16 |
| 1386977593 | Frank James Jackson Jr. | Specialist/Technologist | 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103-6224 | 2009-09-08 |
| 1588620116 | Frank R. Jackson | Family Medicine | 3357b Corridor Marketplace, Laurel, MD 20724-2381 | 2006-04-22 |
| Street Address |
423 N 21ST ST SUITE 100 |
| City | CAMP HILL |
| State | PA |
| Zip Code | 17011-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047937 | West Shore Endoscopy Center LLC | Clinic/Center | 423 N 21st St, Suite 102, Camp Hill, PA 17011-2207 | 2005-07-15 |
| 1811512346 | Alyssa Smith | Licensed Practical Nurse | 423 N 21st St, Camp Hill, PA 17011-2207 | 2020-06-10 |
| 1932737145 | Kayla Jefferies | Registered Nurse | 423 N 21st St, Camp Hill, PA 17011-2207 | 2020-04-01 |
| 1689202897 | Tarin Leggett | Registered Nurse | 423 N 21st St, Camp Hill, PA 17011-2207 | 2020-04-01 |
| 1659909869 | Kira Davis | Licensed Vocational Nurse | 423 N 21st St, Camp Hill, PA 17011-2207 | 2020-04-01 |
| 1023668464 | Rachel Lyn Rodemaker | Advanced Practice Midwife | 423 N 21st St, Camp Hill, PA 17011-2207 | 2019-09-18 |
| 1679032031 | Lorraine M Baer | Licensed Practical Nurse | 423 N 21st St, Camp Hill, PA 17011-2207 | 2019-03-15 |
| 1407381924 | Misshell Goodman | Licensed Vocational Nurse | 423 N 21st St, Suite 100, Camp Hill, PA 17011-2207 | 2017-04-21 |
| 1396277372 | Mechaela Hargrove | Prevention Professional | 423 N 21st St, Suite 100, Camp Hill, PA 17011-2207 | 2017-03-30 |
| 1679013056 | Christine Vlcek | Registered Nurse | 423 N 21st St, Ste 100, Camp Hill, PA 17011-2207 | 2017-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241628 | Harrisburg Home Care | Home Health | 1713 Hammel Road, R2, Harrisburg, PA 17011 | 2019-02-15 |
| 1427540269 | Eldercare Solutions LLC | Adult Companion | 1926 Market Street, Camp Hill, PA 17011 | 2018-06-06 |
| 1538680244 | Edward Joseph Hilton | Dentist | 3412 Trindle Road, Camp Hill, PA 17011 | 2017-07-03 |
| 1639609696 | Alicia Taylor Brustein | Physician Assistant | 425 North 21st Street, Suite 405, Camp Hill, PA 17011 | 2017-06-13 |
| 1285166843 | Betsy Earnest, Lpc, LLC | Counselor | 1509 Cedar Cliff Drive, Suite 4, Camp Hill, PA 17011 | 2017-03-31 |
| 1962852368 | Angela Antonia Debo | Family Medicine | 3025 Market Street, Entrance B, Camp Hill, PA 17011 | 2016-06-16 |
| 1033567839 | Timothy Zack Day | Physician Assistant | 897 Poplar Rd, Camp Hill, PA 17011 | 2016-06-02 |
| 1962864892 | Tracy Byra | Registered Nurse | 15 Scarsdale Drive, Camp Hill, PA 17011 | 2016-03-21 |
| 1245634138 | Charlotte Diane Hain | Psychologist | 781 Poplar Church Road, Camp Hill, PA 17011 | 2014-10-21 |
| 1205276805 | Isaac S Chiang | Optometrist | South 32nd Street & Trindle Rd, Camp Hill, PA 17011 | 2013-06-27 |
| Find all providers in zip 17011 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346748142 | Camille Milan Scott | Internal Medicine | 423 N 21st St Ste 100, Camp Hill, PA 17011-2207 | 2018-01-26 |
| 1215014790 | Purvi Champak Panchal | Internal Medicine | 899 Poplar Church Rd, Camp Hill, PA 17011-2206 | 2006-11-01 |
| 1801846043 | Mohan R Rengen | Internal Medicine | 899 Poplar Church Rd, Camp Hill, PA 17011-2206 | 2006-05-10 |
| 1023075454 | Pennsylvania Gastroenterology Consultants, PC | Internal Medicine | 899 Poplar Church Rd, Camp Hill, PA 17011-2206 | 2006-04-28 |
| 1902866205 | Jackson Siegelbaum Gastroenterology Ltd | Internal Medicine | 423 N 21st St, Suite 100, Camp Hill, PA 17011-2207 | 2006-03-23 |
| 1215917190 | Adnan Ahmad | Internal Medicine | 423 N 21st St, Suite 100, Camp Hill, PA 17011-2207 | 2006-01-18 |
| 1144220633 | Steven Peter Siegelbaum | Internal Medicine | 423 N 21st St, Suite 100, Camp Hill, PA 17011-2207 | 2005-07-26 |
| 1902805971 | John J Michel | Internal Medicine | 423 N 21st St, Suite 100, Camp Hill, PA 17011-2207 | 2005-07-20 |
| 1811996887 | David S Mize | Internal Medicine | 423 N 21st St, Suite 100, Camp Hill, PA 17011-2207 | 2005-07-20 |
| 1942205257 | David J Peters | Internal Medicine | 899 Poplar Church Rd, Camp Hill, PA 17011-2206 | 2005-06-15 |
| Find all providers in CAMP HILL | ||||
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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.