STEPHEN JACKSON (NPI# 1275926503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275926503 |
Entity Type | Individual |
Full Name | STEPHEN JACKSON |
Credential | RDCS, RVT |
Practice Address |
2577 Sawgrass Lake Ct Cape Coral FL 33909-2935 |
Practice Telephone | 2022771063 |
Mailing Telephone | 2022771063 |
Enumeration Date | 2015-03-11 |
Last Update Date | 2015-03-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 246XC2903X |
Spec/Tech, Cardiovascular Specialization: Vascular Specialist |
105942 | FL | Technologists, Technicians & Other Technical Service Providers |
Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
105942 | FL | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750636288 | Stephen Michael Jackson | Dentist | 350 E 600 S Ste 1, St George, UT 84770 | 2012-07-20 |
1548428964 | Stephen Daniel Jackson | Obstetrics & Gynecology | 1091 Kirkpatrick Road, Burlington, NC 27215-9714 | 2008-06-02 |
1164411013 | Stephen J Jackson | Emergency Medicine | 4716 S 14th St, Abilene, TX 79605-4733 | 2005-10-13 |
1285102582 | Stephen Lee Jackson | Marriage & Family Therapist | 5409 Maryland Way Ste 305, Brentwood, TN 37027-1035 | 2018-11-05 |
1225531296 | Stephen A Jackson | Social Worker | 2501 N 3rd St, Harrisburg, PA 17110-2098 | 2018-03-15 |
1659733491 | Stephen Jackson | Emergency Medicine | 1170 Cleveland Ave, East Point, GA 30344-3615 | 2016-03-22 |
1275918401 | Stephen Jackson | Physical Therapist | 36501 Mission St, Suite A, Prairieville, LA 70769-3289 | 2015-07-29 |
1295097590 | Stephen Jackson | Counselor | 165 Roanoke Rd, El Cajon, CA 92020-4015 | 2012-06-12 |
1417087107 | Stephen Charles Jackson | Chiropractor | 122 N 2nd St, Millville, NJ 08332-6512 | 2007-03-06 |
1851428627 | Stephen Paul Jackson | Dentist | 8200 E Belleview Ave, Suite 445e, Greenwood Village, CO 80111-2803 | 2007-02-27 |
Street Address |
2577 SAWGRASS LAKE CT |
City | CAPE CORAL |
State | FL |
Zip Code | 33909-2935 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417433970 | Vicky Doreen Duhaime | Nurse Practitioner | 636 Delprado Blvd South, Cape Coral, FL 33909 | 2018-07-17 |
1639562416 | Kimberly Caggiano | Physical Therapy Assistant | 2113 Ne 4th Ave, Cape Coral, FL 33909 | 2015-03-18 |
1669861027 | Jerkita Mcclorin | Case Manager/Care Coordinator | 409 Ne 11th Place, Cape Coral, FL 33909 | 2015-01-22 |
1033527361 | Jhony R Espinoza | Dentist | 1751 Ne Pine Island Rd Ste 130, Cape Coral, FL 33909 | 2014-07-30 |
1568738581 | Arcadia Nursing Home Inc | Home Health | 441 N. Del Prado Blvd., Suite #2, Cape Coral, FL 33909 | 2012-03-23 |
1689731762 | Lanie Soriano Benzon | Physical Therapist | 523 E Cape Coral Pkwy, Cape Coral, FL 33909 | 2007-01-02 |
1790840676 | One Price Optical | Optometrist | 325 North Del Prado, Cape Coral, FL 33909 | 2006-12-22 |
1801969282 | Jerry Todd Mcclaran | Dentist | 2688 Sunset Lake Drive, Cape Coral, FL 33909 | 2006-11-15 |
1891805651 | Edward Joseph Hope | Physical Therapy Assistant | 601 Del Prado Blvd N, #3, Cape Coral, FL 33909 | 2006-08-30 |
1972577906 | Misty Dawn Green | Chiropractor | 1224 Alabar Ln, Cape Coral, FL 33909 | 2006-02-15 |
Find all providers in zip 33909 |
Taxonomy Code | 246XS1301X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Spec/Tech, Cardiovascular |
Specialization | Sonography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841795622 | Susan Marie Price Smith | Spec/Tech, Cardiovascular | 900 Buckwood Dr, Orlando, FL 32806-6326 | 2018-03-26 |
1417462003 | Marisol M Melendez | Spec/Tech, Cardiovascular | 902 Willow Dr, Lehigh Acres, FL 33936-6765 | 2017-12-05 |
1164940102 | Gary Piontkowski | Spec/Tech, Cardiovascular | 9820 Nw23ct, Coral Springs, FL 33065 | 2017-08-30 |
1255856977 | Charity L Garrett | Spec/Tech, Cardiovascular | 2716 Wilshire Rd, Clermont, FL 34714-6103 | 2017-08-03 |
1417318718 | Angel'z Heart Imaging Center LLC | Spec/Tech, Cardiovascular | 1811 Ne 123rd St, North Miami, FL 33181-2805 | 2016-03-14 |
1033503685 | Dawn Grabowski | Spec/Tech, Cardiovascular | 9609 Laurel Ledge Dr, Riverview, FL 33569-5585 | 2015-03-21 |
1902206790 | Jason Williams | Spec/Tech, Cardiovascular | 3625 Fci Road, Marianna, FL 32446 | 2014-08-28 |
1770991739 | Diego J Bouzas | Spec/Tech, Cardiovascular | 5631 Spring Run Ave, Orlando, FL 32819-7166 | 2014-07-22 |
1205258480 | A&j Diagnostic Center LLC | Spec/Tech, Cardiovascular | 100 E Linton Blvd Ste 134a, Delray Beach, FL 33483-3345 | 2014-01-07 |
1295086700 | Mariela Marchese | Spec/Tech, Cardiovascular | 1700 Embassy Dr, 801, West Palm Beach, FL 33401-1913 | 2012-09-24 |
Find all providers with the same taxonomy |
City | CAPE CORAL |
Zip Code | 33909 |
Please comment or provide details below to improve the information on STEPHEN JACKSON.
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.