CHARLES M JACKSON


Address: 2 East Appleby Rd., Suite 201, Fayetteville, AR 72703
Phone: 4794041100

CHARLES M JACKSON (NPI# 1255659082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255659082
Entity Type Individual
Full Name CHARLES M JACKSON
Credential M.D.
Practice Address 2 East Appleby Rd.
Suite 201
Fayetteville
AR 72703
Mailing Address Po Box 550
Lowell
AR 72745
Practice Telephone 4794041100
Practice Fax Number 4794041101
Mailing Telephone 4794637775
Mailing Fax Number 4794637187
Enumeration Date 2010-05-04
Last Update Date 2018-01-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology E-9270 AR Allopathic & Osteopathic Physicians

Other Providers CHARLES JACKSON

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1457896839 Charles Jackson Counselor 2911 Penick St, Shreveport, LA 71109-4337 2016-12-21
1043655681 Charles D Jackson Driver 4856 W.12th, Suite 1, Cleveland, OH 44109-3424 2013-05-09
1437594553 Charles Jackson Social Worker 18712 Quarry St, Riverview, MI 48193-4527 2013-05-02
1508154105 Charles Gilbert Jackson Jr. Psychiatry & Neurology 88 Crescent St, Northampton, MA 01060-2115 2011-07-16
1457669848 Charles Edward Jackson Jr. Psychologist 1407 Healing Water Lane, N.las Vegas, NV 89031 2010-09-20
1588994081 Charles Dustin Jackson Counselor 5004 Nw 26th St, Oklahoma City, OK 73127-1722 2010-01-05
1508985250 Charles Arthur Jackson Jr. Chiropractor 2455 E Hill Rd, Grand Blanc, MI 48439 2007-03-27
1760535926 Charles Jackson Podiatrist 820 N Dalmont St, Hobbs, NM 88240-5214 2007-01-19
1982769840 Charles Jackson Dentist 3540 82nd St, Jackson Heights, NY 11372-5159 2006-12-22
1437224813 Charles Wesley Jackson Jr. Psychologist 2980 Washington Blvd, Cleveland Heights, OH 44118-2450 2006-11-21

Office Location

Street Address 2 EAST APPLEBY RD.
SUITE 201
City FAYETTEVILLE
State AR
Zip Code 72703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003873050 Richard D Mcwhorter Urology 2 East Appleby Rd., Suite 201, Fayetteville, AR 72703 2006-04-26
1174978985 Lindsay D Horton Nurse Practitioner 2 East Appleby Rd., Suite 201, Fayetteville, AR 72703 2016-04-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477154391 Margaret Sorrells Pharmacist 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 2020-11-06
1497369631 Justin A Rand Massage Therapist 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 2020-09-04
1235777558 Washington Regional Medical System Specialist 3264 N North Hills Blvd, Fayetteville, AR 72703 2019-12-17
1760024582 Haley Brooke Thompson Occupational Therapist 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 2019-10-14
1306492129 Bhg L, LLC Clinic/Center 8 Colt Square Drive, Fayetteville, AR 72703 2019-08-16
1306406269 Idell Marie Mitchell Optometrist Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 2019-06-13
1821574815 Toni Myer Nurse Practitioner 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 2018-07-13
1306340393 Josh Kelfer Student in an Organized Health Care Education/Training Program 1125 North College Avenue, Fayetteville, AR 72703 2018-03-22
1649726449 Vantage Point of Nwa Community/Behavioral Health 4171 N. Crossover Rd, Fayetteville, AR 72703 2016-08-31
1386097137 Jason Nordstrom Speech-Language Pathologist 2664 N Valencia Ave, Fayetteville, AR 72703 2016-07-18
Find all providers in zip 72703

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679581003 Carolina Lithotripsy Ldt Urology 2014 Litho Place, Fayetteville, NC 28304 2006-08-03
1003873050 Richard D Mcwhorter Urology 2 East Appleby Rd., Suite 201, Fayetteville, AR 72703 2006-04-26
1881656924 Fayetteville Urology Associates Pa Urology 1786 Metromedical Drive, Fayetteville, NC 28304 2006-04-04
1801860630 Philip R Kreitzer Urology 4211 Medical Center Dr, Suite 211, Fayetteville, NY 13066-6637 2006-02-16
1861476897 Nirmal K Kilambi Urology 1300 E Zion Rd, Fayetteville, AR 72703-5015 2005-12-02
1013912369 Albert Vazquez Lugo Urology 7300 S Raeford Rd, Fayetteville, NC 28304-6162 2005-06-14
1124022561 Henry Edward Parfitt Jr. Urology 1786 Metromedical Dr, Fayetteville, NC 28304-3861 2005-06-13
1861026619 Georgia Urology Piedmont, LLC Urology 1336 Highway 54 W Bldg 200, Fayetteville, GA 30214-4574 2020-03-02
1548755903 Cumberland County Hospital System Inc Urology 1537 Owen Park Ln, Fayetteville, NC 28304-3454 2018-06-28
1295122315 Mark William Pickhardt Urology 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 2015-04-16
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 72703

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Dataset Information

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.

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