CARDIO CARE PC (NPI# 1245404433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245404433 |
| Entity Type | Organization |
| Organization Name | CARDIO CARE PC |
| Practice Address |
168 W University Pkwy Ste C Jackson TN 38305-1624 |
| Mailing Address |
Po Box 12484 Jackson TN 38308-0143 |
| Practice Telephone | 7315123812 |
| Practice Fax Number | 7315123813 |
| Mailing Telephone | 7315123812 |
| Mailing Fax Number | 7315123813 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |
| Authorized Official Name | DR. MABBU JAYAKUMAR (OWNER) |
| Authorized Official Telephone | 7315123812 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 25230 | TN | Other Service Providers |
| Street Address |
168 W UNIVERSITY PKWY STE C |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063425734 | Mabbu Jayakumar | Internal Medicine | 168 W University Pkwy Ste C, Jackson, TN 38305-1624 | 2006-08-14 |
| 1609337575 | Christina Jorge | Nurse Practitioner | 168 W University Pkwy Ste C, Jackson, TN 38305-1624 | 2019-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285915686 | William Edward Bowlus | Legal Medicine | 24 Wimbledon Dr, Jackson, MS 39211-2443 | 2011-08-30 |
| 1841381696 | Sanjeeva H Rao | Legal Medicine | 232 W 2nd St, Jackson, GA 30233-1907 | 2006-09-27 |
| 1437184017 | William H. Wallace | Legal Medicine | 1421 N State St # St.1, Ste. 504, Jackson, MS 39202-1658 | 2006-07-11 |
| 1184656068 | Robert Allen Smith | Legal Medicine | 1424 N. State St., Ste. 504, Jackson, MS 39202-1658 | 2006-07-07 |
| 1497906879 | Brijesh Rameshchandra Panchal | Legal Medicine | 2545 Spring Arbor Rd, Jackson, MI 49203-3793 | 2008-10-03 |
| 1225233562 | Bentley & Bentley, P.C. | Legal Medicine | 2532 Spring Arbor Rd, Jackson, MI 49203-3663 | 2007-06-18 |
| 1871794412 | Don Hollingsworth | Legal Medicine | 601 Court St, Suite 106, Jackson, CA 95642-2160 | 2007-05-30 |
| 1235164021 | William O Thompson | Legal Medicine | 1421 N State St, Ste. 504, Jackson, MS 39202-1658 | 2006-07-11 |
| 1396792560 | Timothy S Van Schoick, M.d.,p.c. | Legal Medicine | 2100 4th St, Jackson, MI 49203-4518 | 2006-05-31 |
| 1669427027 | Sandra Kilian | Legal Medicine | 760 W Franklin St, Jackson, MI 49201-2048 | 2006-05-24 |
| Find all providers in JACKSON | ||||
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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.