ROD DEWEY JACKSON (NPI# 1245520808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245520808 |
| Entity Type | Individual |
| Full Name | ROD DEWEY JACKSON |
| Practice Address |
411 N Washington Ave Suite 4000 Dallas TX 75246-1713 |
| Practice Telephone | 2148201931 |
| Practice Fax Number | 2148206772 |
| Mailing Telephone | 2148201931 |
| Mailing Fax Number | 2148206772 |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
105104 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
411 N WASHINGTON AVE SUITE 4000 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602587 | Jane J Lee Md Pa | Allergy & Immunology | 411 N Washington Ave, Ste 2400, Dallas, TX 75246-1713 | 2005-07-08 |
| 1184268872 | Priscilla Morales | Dietitian, Registered | 411 N Washington Ave, Dallas, TX 75246-1713 | 2019-11-05 |
| 1568901015 | Deanna R Darnes | Genetic Counselor, MS | 411 N Washington Ave, Suite #3300, Dallas, TX 75246-1713 | 2017-02-16 |
| 1386182475 | Kaitlyn Nolan | Physical Therapist | 411 N Washington Ave, Suite 4000, Dallas, TX 75246-1713 | 2017-02-08 |
| 1043762255 | Rachel K Parry | Speech-Language Pathologist | 411 N Washington Ave, Ste. 4000, Dallas, TX 75246-1713 | 2016-11-04 |
| 1912457102 | Radha Morar | Physical Therapist | 411 N Washington Ave, Suite 4000, Dallas, TX 75246-1713 | 2016-10-11 |
| 1760935480 | Katie Nicole England | Physical Therapist | 411 N Washington Ave, Suite 4000, Dallas, TX 75246-1713 | 2016-07-28 |
| 1013368547 | Daniel Flatley | Rehabilitation Counselor | 411 N Washington Ave, Suite 5000, Dallas, TX 75246-1713 | 2016-06-27 |
| 1730538711 | Stephanie Hockett | Speech-Language Pathologist | 411 N Washington Ave, Ste 5000, Dallas, TX 75246-1713 | 2016-06-09 |
| 1093160848 | Kaitlyn Nicole White | Speech-Language Pathologist | 411 N Washington Ave, Suite 5000, Dallas, TX 75246-1713 | 2016-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770700312 | Elizabeth Adair Hall | Occupational Therapist | 1926 Chattanooga Pl, Ste A, Upper Extremity Specialist, Dallas, TX 75235 | 2007-04-18 |
| 1407841232 | Mary A. Appleby | Occupational Therapist | 9301 N Central Expy Ste 300, Dallas, TX 75231-0804 | 2005-09-19 |
| 1679045561 | Alayna Hofeling | Occupational Therapist | 3600 Gaston Ave Ste 450, Dallas, TX 75246-1904 | 2018-12-18 |
| 1457861346 | Alecia Nicole Vaughn | Occupational Therapist | 9301 N Central Expy Ste 350, Dallas, TX 75231-0808 | 2017-10-04 |
| 1437495488 | Lacey R Sims | Occupational Therapist | 411 N Washington Ave Ste 4000, Dallas, TX 75246-1776 | 2012-12-19 |
| 1427296847 | Lara Hess Gordon | Occupational Therapist | 7989 W Virginia Dr, Ste. 105, Dallas, TX 75237-3837 | 2009-01-22 |
| 1710195086 | Melissa Ann Peavey | Occupational Therapist | 8144 Walnut Hill Ln, Suite 100, Dallas, TX 75231-4388 | 2007-05-19 |
| 1124245857 | Melinda Matte Battenfield | Occupational Therapist | 3900 Junius St Ste 500, Dallas, TX 75246-1621 | 2007-04-20 |
| 1518011477 | Appleby and Associates, Inc. | Occupational Therapist | 9301 N Central Expy Ste 300, Dallas, TX 75231-0804 | 2007-01-22 |
| 1821100025 | Carrol S Boggess | Occupational Therapist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2006-09-01 |
| Find all providers in DALLAS | ||||
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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.