DR. LARRY K JACKSON


Address: 2660 10th Ave S, Suite 528, Birmingham, AL 35205-1605
Phone: 2059339258

DR. LARRY K JACKSON (NPI# 1275574295) 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) 1275574295
Entity Type Individual
Full Name DR. LARRY K JACKSON
Credential M.D.
Practice Address 2660 10th Ave S
Suite 528
Birmingham
AL 35205-1605
Practice Telephone 2059339258
Practice Fax Number 2059336504
Mailing Telephone 2059339258
Mailing Fax Number 2059336504
Enumeration Date 2006-06-09
Last Update Date 2010-01-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
00006718 AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL BLUE CROSS 51087222 01
AL CIGNA 87222 01
AL UNITED HEALTHCARE 410564 01

Other Providers LARRY JACKSON

NPI Name Taxonomy Address Enumeration
1568855724 Larry Jackson Jr. Specialist/Technologist 826 Warfield Pl, Lexington, KY 40505-3612 2015-03-12
1396186276 Larry Tyler Jackson Dentist 14100 N 83rd Ave, Ste 280, Peoria, AZ 85381-5658 2013-07-08
1093878191 Larry Randolph Jackson Registered Nurse 615 Rapids Rd, Columbia, SC 29212-3024 2006-12-19
1710068499 Larry M. Jackson Nutritionist 9357 S Kingston Ave, Chicago, IL 60617-4042 2006-10-18
1093169062 Larry Jackson Jr. Counselor 1420 Central Ave, Dubuque, IA 52001-4842 2016-04-15
1679971667 Larry Jackson Specialist 1501 5th Ave N, St Petersburg, FL 33705-2008 2014-12-08
1578880548 Larry Arthur Jackson Family Medicine 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 2010-04-29
1023285582 Larry Ronald Jackson II Internal Medicine 2301 Erwin Rd, Durham, NC 27710-0001 2008-05-14
1912928441 Larry D Jackson Personal Emergency Response Attendant 500 Gypsy Ln, Youngstown, OH 44504-1315 2006-07-21
1720049349 Larry Jackson Family Medicine 6565 W Main St, Kalamazoo, MI 49009-6114 2006-03-31

Office Location

Street Address 2660 10TH AVE S
SUITE 528
City BIRMINGHAM
State AL
Zip Code 35205-1605

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568466597 Jane Pearson Md Pa Psychiatry & Neurology 2660 10th Ave S, Ste 520, Birmingham, AL 35205-1605 2005-06-08
1073974556 Shelley Moreland Nurse Practitioner 2660 10th Ave S, #610, Birmingham, AL 35205-1605 2016-03-11
1265893002 Alabama Digestive Diseases PC Clinic/Center 2660 10th Ave S, #610, Birmingham, AL 35205-1605 2016-03-07
1154738771 Ashleigh Reimann Nurse Practitioner 2660 10th Ave S, Suite 528, Birmingham, AL 35205-1605 2014-07-15
1700214939 Jane Pearson Md Pa Preferred Provider Organization 2660 10th Ave S, Birmingham, AL 35205-1605 2013-10-25
1669809943 Laura Grace Jones Nurse Practitioner 2660 10th Ave S, Pob 1, Suite 107, Birmingham, AL 35205-1605 2013-10-02
1871925909 Vnss Sailaja Radha Ramani Varanasi Internal Medicine 2660 10th Ave S, Pob 1, Suite 720, Birmingham, AL 35205-1605 2013-07-31
1952656001 Jose Manuel Rodriguez-barrantes Family Medicine 2660 10th Ave S, Professional Building 1, Suite 720, Birmingham, AL 35205-1605 2012-07-16
1306111307 Over The Mountain Rehab, Inc Occupational Therapist 2660 10th Ave S, Suite 707, Birmingham, AL 35205-1605 2012-03-09
1588988851 Vascular Institute of Birmingham, PC Nurse Anesthetist, Certified Registered 2660 10th Ave S, Pob #1, Suite 608, Birmingham, AL 35205-1605 2010-03-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124547674 Serve Home Health Care Agency, LLC In Home Supportive Care 2230 Green Springs Hwy S, Birmingham, AL 35205 2017-09-15
1457870487 Marilyn Bennett Pinson Pharmacist Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 2017-09-11
1639522238 Dana Rives Speech-Language Pathologist St. Vincent's, Building 3, Suite 402, Birmingham, AL 35205 2016-07-19
1760854236 Raymond Herring Chiropractor 1226 29th St S, Apt 18, Birmingham, AL 35205 2015-10-23
1083005813 Absolutely Amazing Salon Prosthetic/Orthotic Supplier 2227 Arlington Avenue, Birmingham, AL 35205 2015-02-16
1396141651 Alexandria Hutchison Occupational Therapist 833 Saint Vincent's Drive, Building 3, Suite 200, Birmingham, AL 35205 2014-11-14
1790028199 Patrick Ross Owens Otolaryngology 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 2013-04-03
1053657452 David Mitchell Comfort Urology 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 2012-12-13
1598023632 Kathryn Ashley Bentley Orthopaedic Surgery 833 St. Vincent's Drive, Bldg 3, Ste 403, Birmingham, AL 35205 2012-04-26
1114298510 Natalie Elizabeth George Physician Assistant 2100 16th Avenue South, 202, Birmingham, AL 35205 2012-01-18
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245780972 Victoria Rusanov Internal Medicine 1720 2nd Ave S # Tht-422, Birmingham, AL 35294-0004 2016-10-05
1073783015 Maria Guevara Internal Medicine 2016 Grove Park Way, Birmingham, AL 35242-2481 2008-03-05
1154524247 Brian Dent Flanagan Internal Medicine 100 Pilot Medical Dr Ste 100, Birmingham, AL 35235 2007-06-07
1083779839 Jean Anna Newsome Internal Medicine 2018 Medical Center Dr, Professional Office Bldg Suite 115, Birmingham, AL 35209 2006-12-22
1619988326 Pulmonary and Sleep Assoc of Alabama Internal Medicine 2022 Brookwood Medical Ct Dr, Acc 310, Birmingham, AL 35209-6808 2006-08-10
1326055500 David P Franco Internal Medicine 3686 Grandview Pkwy Ste 500, Birmingham, AL 35243 2006-08-01
1427013580 Gustavo A Dubois Internal Medicine 2018 Brookwood Medical Center Dr, Ste 115, Birmingham, AL 35209 2006-04-19
1982051967 Elizabeth Coggins Internal Medicine 817 Princeton Ave Sw, Suite 199, Birmingham, AL 35211-1333 2016-05-19
1528487022 Sheylan Patel Internal Medicine 625 19th St S, Birmingham, AL 35249-3003 2014-04-11
1235557265 Chao He Internal Medicine 619 19th St S, Birmingham, AL 35249-1900 2014-04-07
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Competitor

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City BIRMINGHAM
Zip Code 35205

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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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