PHILIP C JACKSON JR. (NPI# 1306852678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306852678 |
| Entity Type | Individual |
| Full Name | PHILIP C JACKSON JR. |
| Credential | MD |
| Practice Address |
1301 W 38th St #205 Austin TX 78705-1011 |
| Mailing Address |
Po Box 26726 Austin TX 78755-0726 |
| Practice Telephone | 5123241864 |
| Practice Fax Number | 5124199016 |
| Mailing Telephone | 5124078686 |
| Mailing Fax Number | 5124066216 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | L7426 | TX | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | L7426 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 159860903 | 05 | |
| TX | 159860904 | 05 | |
| TX | 159860902 | 05 | |
| TX | 159860901 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437174638 | Philip Jackson | Pediatrics | 2500 Hamlin Dr, Inkster, MI 48141-2348 | 2006-07-12 |
| 1811350705 | Philip Larkin Jackson IIi | Emergency Medicine | 211 E Ontario St, Suite 200, Chicago, IL 60611-3468 | 2016-03-30 |
| 1780836437 | Philip Morgan Jackson | Social Worker | 220 Danville Corner Rd, Auburn, ME 04210-8605 | 2008-10-14 |
| 1790963916 | Philip Rodney Jackson | Dentist | 3790 Fernandina Rd, Suite 201, Columbia, SC 29210-3864 | 2008-02-11 |
| Street Address |
1301 W 38TH ST #205 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710964895 | Inayat A Momin | Internal Medicine | 1301 W 38th St #205, Austin, TX 78705-1011 | 2005-12-29 |
| 1245347186 | Carrie L. Cooper | Specialist | 1301 W 38th St #205, Austin, TX 78705-1011 | 2006-08-24 |
| 1982610234 | Sharon Moore | Internal Medicine | 1301 W 38th St #205, Austin, TX 78705-1011 | 2006-07-31 |
| 1588670848 | Robert K Seiler | Internal Medicine | 1301 W 38th St #205, Austin, TX 78705-1011 | 2006-07-31 |
| 1164438446 | Ricardo A Cruz | Internal Medicine | 1301 W 38th St #205, Austin, TX 78705-1011 | 2006-07-31 |
| 1558377820 | Diane L. Brinkman | Obstetrics & Gynecology | 1301 W 38th St #205, Austin, TX 78705-1011 | 2006-07-31 |
| 1972518033 | Daniela C Drosu | Internal Medicine | 1301 W 38th St #205, Austin, TX 78705-1011 | 2006-07-29 |
| 1285649343 | Bharati P Kolte | Internal Medicine | 1301 W 38th St #205, Austin, TX 78705-1011 | 2006-07-29 |
| 1497760565 | Donovan H Sigerfoos | Internal Medicine | 1301 W 38th St #205, Austin, TX 78705-1011 | 2006-07-29 |
| 1285657072 | Leanne T Lam | Internal Medicine | 1301 W 38th St #205, Austin, TX 78705-1011 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989109 | 3d Regeneration LLC | Internal Medicine | 11610 Bee Caves Rd Ste 230, Austin, TX 78738-5457 | 2020-10-16 |
| 1982210571 | Kim L Rowlands | Internal Medicine | 6101 E Oltorf, None, Austin, TX 78704-7875 | 2020-09-18 |
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1528674561 | Knight Doctor Pllc | Internal Medicine | 1401 Eva St Apt 304, Austin, TX 78704-3069 | 2020-09-16 |
| 1306467956 | Jason Russell Paxman | Internal Medicine | Dell Seton Medical Center 1500 Red River, Austin, TX 78701 | 2020-05-05 |
| 1265095160 | Marcos Daniel Villarreal | Internal Medicine | Ut Austin Dell Medical School Seton Internal Medicine, 1500 Red River (dell Seton Medical Center), Austin, TX 78701-1918 | 2019-04-16 |
| 1609368653 | Elain Loquias | Internal Medicine | 1500 Red River St Ste 2.320, Austin, TX 78701 | 2018-06-05 |
| 1851883581 | Suely J Roman Lopez | Internal Medicine | Ut Austin Dell Medical School Internal Medicine, Dell Seaton Medical Center 1500 Red River, Austin, TX 78701 | 2018-05-30 |
| 1265922264 | Devin Leslie | Internal Medicine | Dell Seton Medical Center, 1500 Red River, Austin, TX 78701 | 2018-05-15 |
| 1821585340 | Thrive Physicians Pllc | Internal Medicine | 2217 Park Bend Dr Ste 210, Austin, TX 78758-5674 | 2018-04-19 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on PHILIP C JACKSON JR..
| 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.