WESLEY ALEXANDER JACKSON (NPI# 1285085357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285085357 |
| Entity Type | Individual |
| Full Name | WESLEY ALEXANDER JACKSON |
| Other Name | DR. WESLEY ALEXANDER JACKSON |
| Practice Address |
534 W John St Ste 100 Matthews NC 28105-5484 |
| Practice Telephone | 7048479788 |
| Practice Fax Number | 7048492928 |
| Mailing Telephone | 7048479788 |
| Mailing Fax Number | 7048492928 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2020-02-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006736 | PA | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 528 N. Broome Street, Waxhaw, NC 281732810 | 7042437844 | 7042433479 |
| 626 Clark Dr, Lincolnton, NC 280923714 | 7047324361 | 7047326995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295266120 | Wesley Jackson | Occupational Therapy Assistant | 2102 Sandbrook Dr, Jonesboro, AR 72404-0686 | 2017-03-22 |
| 1225396690 | Wesley Matthew Jackson | Pediatrics | 5801 Mountain Island Dr, Durham, NC 27713-8909 | 2012-04-24 |
| 1073511127 | Wesley Gordon Jackson | Surgery | 2441 Sample Ave, Clovis, CA 93611-5495 | 2005-07-12 |
| 1336775972 | Wesley Eric Jackson | Behavior Technician | 1226 Independence Ave, Kennett, MO 63857-1316 | 2020-03-16 |
| 1194782995 | Wesley P Jackson | Orthopaedic Surgery | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2006-04-27 |
| Street Address |
534 W JOHN ST STE 100 |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-5484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932297264 | Eastover Foot & Ankle Pa | Podiatrist | 428 N. Trade Street, Suite 100, Matthews, NC 28105-5017 | 2006-10-11 |
| 1396089223 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 428 N. Trade Street, Suite 100, Matthews, NC 28105-5018 | 2012-11-15 |
| 1770837239 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 534 W John St, Ste 100, Matthews, NC 28105-5483 | 2012-11-06 |
| 1902150519 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 2950 Senna Dr, Matthews, NC 28105-6722 | 2012-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696834 | Instride Foot & Ankle Specialists, Pllc | Podiatrist | 6341 Cook Ave Ste A, Clemmons, NC 27012-9380 | 2020-07-15 |
| 1497376370 | Carolina Foot & Ankle of Huntersville, PC | Podiatrist | 10310 Couloak Dr Ste 200, Charlotte, NC 28216-7673 | 2020-05-01 |
| 1346861614 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1506 E Franklin St Ste 104, Chapel Hill, NC 27514-2825 | 2020-04-28 |
| 1316576283 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 3800 Highway 49 South, Harrisburg, NC 28075 | 2020-04-03 |
| 1346878410 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 16419 Northcross Dr Ste A, Huntersville, NC 28078-5009 | 2020-04-01 |
| 1386289841 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 700 Tilghman Dr Ste 722, Dunn, NC 28334-5519 | 2019-11-08 |
| 1881244168 | Unc Physicians Network Group Practices, LLC | Podiatrist | 1505 Sw Cary Pkwy Ste 200, Cary, NC 27511-6219 | 2019-09-18 |
| 1669022950 | Unc Physicians Network Group Practices, LLC | Podiatrist | 501 Health Park Dr Ste 180, Garner, NC 27529-7051 | 2019-09-18 |
| 1861042152 | Unc Physicians Network Group Practices, LLC | Podiatrist | 6602 Knightdale Blvd Ste 203, Knightdale, NC 27545-6567 | 2019-09-18 |
| 1326518630 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 114 N Northwood St, Wallace, NC 28466 | 2018-11-29 |
| 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.