STEPHEN JACKSON


Address: 2577 Sawgrass Lake Ct, Cape Coral, FL 33909-2935
Phone: 2022771063

STEPHEN JACKSON (NPI# 1275926503) 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) 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

Taxonomy

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

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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

Office Location

Street Address 2577 SAWGRASS LAKE CT
City CAPE CORAL
State FL
Zip Code 33909-2935

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 246XS1301X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Spec/Tech, Cardiovascular
Specialization Sonography

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City CAPE CORAL
Zip Code 33909

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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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