DR. DAVID NEAL JACKSON (NPI# 1235236308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235236308 |
| Entity Type | Individual |
| Full Name | DR. DAVID NEAL JACKSON |
| Credential | MD |
| Practice Address |
1707 W Charleston Blvd #120 Las Vegas NV 89102-2351 |
| Mailing Address |
1701 W Charleston Blvd #215 Las Vegas NV 89102-2325 |
| Practice Telephone | 7026715140 |
| Practice Fax Number | 7023852745 |
| Mailing Telephone | 7029684347 |
| Mailing Fax Number | 7023825388 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
12911 | NV | Allopathic & Osteopathic Physicians |
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
8687 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | STATE LICENSE | 12911 | 01 |
| MT | STATE LICENSE | 8687 | 01 |
| MT | 0017663 | 05 |
| 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 |
1707 W CHARLESTON BLVD #120 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750377693 | Miracle Wangsuwana | Psychiatry & Neurology | 1707 W Charleston Blvd, Suite #220, Las Vegas, NV 89102-2351 | 2005-09-26 |
| 1073040127 | Evan Drew Davis | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Las Vegas, NV 89102-2351 | 2017-05-19 |
| 1336674969 | Bobby Karandeep Singh Brar | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2351 | 2017-04-20 |
| 1497280036 | Pooja Patil | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2351 | 2017-04-20 |
| 1346772597 | Angela Hui-chia Liu | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2351 | 2017-03-28 |
| 1902345077 | Ankita Raman | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Ste 120, Las Vegas, NV 89102-2351 | 2017-02-22 |
| 1669852513 | Cameron Lasley | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 290, Las Vegas, NV 89102-2351 | 2015-06-05 |
| 1043627508 | Richard Witty Jr. | Dentist | 1707 W Charleston Blvd, Suite 290, Las Vegas, NV 89102-2351 | 2014-07-16 |
| 1346657285 | Jacqueline Sanders Delaney | Dentist | 1707 W Charleston Blvd, Suite 290, Las Vegas, NV 89102-2351 | 2014-07-11 |
| 1710305156 | Ali Osama Malik | Internal Medicine | 1707 W Charleston Blvd, Las Vegas, NV 89102-2351 | 2014-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720347545 | Megumi Akiyama | Obstetrics & Gynecology | 5761 S Fort Apache Rd Bldg 8, Las Vegas, NV 89148 | 2012-05-14 |
| 1689985046 | Sarah Lindsay Wood | Obstetrics & Gynecology | 2011 Pinto Ln Ste 200, Las Vegas, NV 89106-4007 | 2010-06-30 |
| 1972760148 | Doliroberts Chartered A Professional Corporation | Obstetrics & Gynecology | 653 N Town Center Dr Ste 414, Las Vegas, NV 89144-0518 | 2008-05-16 |
| 1609839232 | Laura A Gorski | Obstetrics & Gynecology | 2011 Pinto Lane, Suite 200, Las Vegas, NV 89106 | 2006-04-06 |
| 1265407183 | Alan Jeffrey Sacks | Obstetrics & Gynecology | 2020 Goldring Ave, Suite 404, Las Vegas, NV 89106-4000 | 2006-02-22 |
| 1831198043 | Joseph A Adashek | Obstetrics & Gynecology | 5761 S Fort Apache Rd, Bldg. 8, Las Vegas, NV 89148-5506 | 2005-07-19 |
| 1326314055 | Roxanna Twedt | Obstetrics & Gynecology | 2011 Pinto Ln Ste 200, Las Vegas, NV 89106-4007 | 2012-03-27 |
| 1518103233 | Lauren Giacobbe | Obstetrics & Gynecology | 2011 Pinto Ln, #200, Las Vegas, NV 89106-4004 | 2008-12-30 |
| 1588851604 | Iriye and Adashek Chartered | Obstetrics & Gynecology | 2011 Pinto Ln, Suite 200, Las Vegas, NV 89106-4018 | 2007-10-02 |
| 1063606291 | Alan J. Sacks, M.d., Ltd, PC | Obstetrics & Gynecology | 2020 Goldring Ave, Suite 404, Las Vegas, NV 89106-4000 | 2007-08-30 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on DR. DAVID NEAL JACKSON.
| 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.