F DANIEL JACKSON, MD, PA (NPI# 1174532238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174532238 |
| Entity Type | Organization |
| Organization Name | F DANIEL JACKSON, MD, PA |
| Practice Address |
130 Pennsylvania Ave Cumberland MD 21502-4236 |
| Mailing Address |
Po Box 1692 Cumberland MD 21501-1692 |
| Practice Telephone | 3017592666 |
| Practice Fax Number | 3017592841 |
| Mailing Telephone | 3017593817 |
| Mailing Fax Number | 3017593286 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. F DANIEL JACKSON (PRESIDENT) |
| Authorized Official Telephone | 3017593817 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326056904 | F Daniel Jackson, Md, Pa | Clinic/Center | 32 Corporate Dr, Grantsville Medical Center, Grantsville, MD 21536-1259 | 2006-08-03 |
| Street Address |
130 PENNSYLVANIA AVE |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-4236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659362341 | Seth Craig Ramer | Counselor | 130 Pennsylvania Ave, Cumberland, MD 21502-4236 | 2005-11-02 |
| 1770669376 | Labwork LLC | Clinical Medical Laboratory | 130 Pennsylvania Ave, Cumberland, MD 21502-4236 | 2006-10-27 |
| 1639187289 | F. Daniel Jackson, Md, Pa D/b/a Labwork LLC | Clinical Medical Laboratory | 130 Pennsylvania Ave, Cumberland, MD 21502-4236 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437432689 | Concentra Primary Care Pa | Clinic/Center | 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 | 2011-09-23 |
| 1316939614 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 18880 N Us Highway 119, Cumberland, KY 40823-8106 | 2005-08-22 |
| 1508166752 | Mountain View Primary Care Inc | Clinic/Center | 1602 Ford Ave, Cumberland, MD 21502-4612 | 2010-10-21 |
| 1568669869 | Primary Care of Northern Rhode Island | Clinic/Center | 2140 Mendon Rd, Cumberland, RI 02864-3833 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316552219 | Premier Medical Care, LLC | Clinic/Center | 19735 Germantown Rd Ste 280, Germantown, MD 20874-1215 | 2020-09-09 |
| 1982226023 | Complete Access Care, LLC | Clinic/Center | 1035 Ingleside Ave, Catonsville, MD 21228-1318 | 2020-05-12 |
| 1184245045 | Comfort Primary Care | Clinic/Center | 9966 Royal Commerce Pl, Upper Marlboro, MD 20774-1163 | 2020-05-01 |
| 1407476955 | Rcc Community Services, Inc | Clinic/Center | 2628 Harford Rd, Baltimore, MD 21218-4928 | 2020-04-24 |
| 1013536960 | Philomena Nufunkuen Keli | Clinic/Center | 15012 Saddle Creek Dr, Burtonsville, MD 20866-2211 | 2020-04-10 |
| 1629606454 | Advanced Primary Care | Clinic/Center | 525 Eastern Ave # B2, Fairmount Heights, MD 20743-1677 | 2020-03-28 |
| 1588211890 | Two Tree Health Associates, LLC | Clinic/Center | 10 S Hanson St Ste 21, Easton, MD 21601-3078 | 2019-08-21 |
| 1427604099 | Ecarenow LLC | Clinic/Center | 176 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4535 | 2019-08-09 |
| 1326691874 | Lotus Healthcare and Wellness LLC | Clinic/Center | 6495 New Hampshire Ave Ste B140, Hyattsville, MD 20783-3245 | 2019-07-23 |
| 1831750546 | Matobi Family Healthcare,llc | Clinic/Center | 7350 Van Dusen Rd Ste 340, Laurel, MD 20707-5264 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
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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.