BYRON JACKSON (NPI# 1265516447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265516447 |
Entity Type | Individual |
Full Name | BYRON JACKSON |
Credential | DPM |
Practice Address |
6941 N Trenholm Rd H1 Columbia SC 29206-1715 |
Mailing Address |
Po Box 25575 Columbia SC 29224-5575 |
Practice Telephone | 8037907200 |
Mailing Telephone | 8037907200 |
Mailing Fax Number | 8037900520 |
Enumeration Date | 2006-10-25 |
Last Update Date | 2014-04-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD001104 | GA | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
SC519 | SC | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | MEDICARE PTAN | 511I480 | 01 |
SC | PD5195 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225667264 | Byron Jackson | Community/Behavioral Health | 3101 N Central Ave # 220b, Phoenix, AZ 85012-2645 | 2020-04-02 |
1205133030 | Byron Jackson I | Chiropractor | 6009 Landerhaven Dr, C2, Mayfield Heights, OH 44124-4192 | 2011-02-14 |
1821167263 | Byron Andra Jackson | Internal Medicine | 745 Olive St, Suite 203, Shreveport, LA 71104-2246 | 2006-11-07 |
Street Address |
6941 N TRENHOLM RD H1 |
City | COLUMBIA |
State | SC |
Zip Code | 29206-1715 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962455675 | Linda O Morphis | Nurse Practitioner | 6941 N Trenholm Rd, Suite M, Columbia, SC 29206-1715 | 2006-05-17 |
1730213166 | Suzanne Wilson Peebles | Counselor | 6941 N Trenholm Rd, Suite R-2, Columbia, SC 29206-1715 | 2007-03-15 |
1538211339 | Diagnostic & Comprehensive Foot Care | Durable Medical Equipment & Medical Supplies | 6941 N Trenholm Rd, H1, Columbia, SC 29206-1715 | 2007-01-18 |
1881796332 | Lafayette Briggs Jr. | Chiropractor | 6941 N Trenholm Rd, Columbia, SC 29206-1715 | 2006-09-04 |
1992729669 | Woodrow A. Bell, M.d., P.a. | Internal Medicine | 6941 N Trenholm Rd, Suite I, Columbia, SC 29206-1715 | 2006-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710403720 | Twila Wilson | Adult Companion | 5741 D Imboden Street, Columbia, SC 29206 | 2017-08-21 |
1164978961 | Uri Reisman | Social Worker | 3730 Rockbridge Rd, Columbia, SC 29206 | 2016-08-31 |
1902237621 | Ronald Patrick Pellicer | Counselor | 6941 N Trenholm Rd Ste F102, Columbia, SC 29206 | 2013-12-05 |
1316376791 | Laraine Kim Jenkins | Counselor | 5211 Trenholm Rd, Suite B, Columbia, SC 29206 | 2013-11-05 |
1437409802 | Charles B Roman IIi | Pharmacist | 4711-5 Forest Drive, Columbia, SC 29206 | 2012-09-13 |
1306129879 | Rickey Gene Ayers | Counselor | 1800 Forest Drive, C, Columbia, SC 29206 | 2011-09-21 |
1285924316 | Lexington County Health Services District, Inc. | Internal Medicine | 4540 Trenholm Road, Columbia, SC 29206 | 2011-04-11 |
1144547860 | Alicia K. Harvey | Counselor | 5115 Forest Plaza Suite D, The Art and Play Therapy Center of S.c., Columbia, SC 29206 | 2010-04-21 |
1669703880 | Crystal Coleman | Occupational Therapist | 5234 Circle Dr, Columbia, SC 29206 | 2010-01-28 |
1689896938 | Carolina Dental Associates, P.a. | Dentist | 5101 Forest Drive, Columbia, SC 29206 | 2007-05-03 |
Find all providers in zip 29206 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801822283 | Benjamin A Lanza | Podiatrist | 1900 Hampton St, Columbia, SC 29201-3536 | 2006-06-25 |
1427480300 | Ashley Michele Nettles | Podiatrist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2013-08-02 |
1568602589 | Heather D Driessen | Podiatrist | 1730 Saint Julian Pl, Columbia, SC 29204-2410 | 2009-03-03 |
1386836252 | Brian D. Jackson, Dpm, LLC | Podiatrist | 1215 Hatcher Ln, Columbia, TN 38401-3531 | 2007-08-15 |
1003013632 | Maureen Quinlan | Podiatrist | 1730 Saint Julian Pl, Columbia, SC 29204-2410 | 2007-06-28 |
1285609198 | Terry Alan Sanders | Podiatrist | 305 N Keene St, Suite 209, Columbia, MO 65201-6897 | 2006-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508226580 | Foot and Heel Pain Clinic, LLC | Podiatrist | 551 Old Charleston Hwy, Hardeeville, SC 29927-3716 | 2016-03-03 |
1952630972 | Roper Saint Francis Physicians Network | Podiatrist | 2270 Ashley Crossing Dr Ste 110, Charleston, SC 29414 | 2009-12-22 |
1487889200 | Carolina Foot Specialists, LLC | Podiatrist | 501 Bramson Ct Unit 301, Mt Pleasant, SC 29464-7953 | 2009-05-22 |
1720228661 | Nicholas A Straney Dpm | Podiatrist | 701 Saint Andrews Blvd, Charleston, SC 29407-7140 | 2009-03-05 |
1457543589 | Mid-carolina Podiatry, Inc. | Podiatrist | 1207 N Lake Dr, Lexington, SC 29072-7647 | 2007-08-13 |
1467571919 | Cheraw Foot Center PC | Podiatrist | 110 S Doctors Dr, Suite B1, Cheraw, SC 29520-7112 | 2007-03-28 |
1326117433 | Richard Hampton Moore | Podiatrist | 4000 Highway 9 E # 235, Little River, SC 29566-7833 | 2006-11-06 |
1093804817 | George Sich IIi | Podiatrist | 901 Magnolia Dr, Aiken, SC 29803 | 2006-10-12 |
1891891644 | James Leon Rose | Podiatrist | 2126b N Highway 81, Anderson, SC 29621-1532 | 2006-09-16 |
1043316987 | Palmetto Podiatry Group of Anderson, Pa | Podiatrist | 2126 - B Hwy 81 North, Anderson, SC 29621-4819 | 2006-09-16 |
Find all providers with the same taxonomy |
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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.