DR. ERIC MICHAEL JACKSON (NPI# 1346336443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346336443 |
| Entity Type | Individual |
| Full Name | DR. ERIC MICHAEL JACKSON |
| Credential | M.D. |
| Practice Address |
1914 Glen Meade Rd Wilmington NC 28403-6025 |
| Practice Telephone | 9107622651 |
| Practice Fax Number | 9107635709 |
| Mailing Telephone | 9107622651 |
| Mailing Fax Number | 9107635709 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2011-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2007-01022 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5907369 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447728910 | Eric Jackson | Specialist/Technologist | 1219 6th Ave S, Birmingham, AL 35233 | 2018-11-02 |
| 1043725211 | Eric Jackson | Counselor | 51 Lima St, Aurora, CO 80010-4616 | 2017-12-09 |
| 1164733267 | Eric Jackson | Speech-Language Pathologist | 75 Pierrepont St Apt 3d, Brooklyn, NY 11201-2429 | 2010-06-23 |
| 1083764559 | Eric Jackson | Dentist | 9631b Fm 1960 Rd W, Houston, TX 77070-6110 | 2007-01-10 |
| 1518042233 | Eric A Jackson | Emergency Medicine | 811 Sixth Street, Suite #210, Wichita Falls, TX 76301 | 2006-10-25 |
| 1164510202 | Eric Winfred Jackson | Physical Therapist | 3662 Inwood Avenue, New Orleans, LA 70131 | 2006-10-11 |
| 1235131251 | Eric M Jackson | Internal Medicine | 16-18 Ridge Road, North Rlington, NJ 07031-6314 | 2005-08-10 |
| 1205298734 | Eric Jackson | Pediatrics | 240 E Huron St, Mcgaw Pavilion Suite 1-200, Chicago, IL 60611-2909 | 2016-03-23 |
| 1205200011 | Eric Jackson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2015-11-17 |
| 1235531823 | Eric T Jackson | Social Worker | 110 Hidden Valley Rd, Mc Murray, PA 15317-2685 | 2014-09-25 |
| Street Address |
1914 GLEN MEADE RD |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-6025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194725036 | Jennifer Fudge Player | Pediatrics | 1914 Glen Meade Rd, Wilmington, NC 28403-6025 | 2005-07-21 |
| 1841409877 | Patrick Joseph Renton | Pediatrics | 1914 Glen Meade Rd, Wilmington, NC 28403-6025 | 2007-05-22 |
| 1659485415 | The Pediatric Center | Clinic/Center | 1914 Glen Meade Rd, Wilmington, NC 28403-6025 | 2006-08-18 |
| 1457320756 | The Pediatric Center, Pllc | Specialist | 1914 Glen Meade Rd, Wilmington, NC 28403-6025 | 2006-03-17 |
| 1225004575 | Patrick Scott Edwards | Pediatrics | 1914 Glen Meade Rd, Wilmington, NC 28403-6025 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324307 | Manuel Roque Sanchez Gonzales Jr. | Pediatrics | Attn: Cindy Chuidian (gme Office), 1600 Rockland Rd, Wilmington, DE 19803 | 2020-04-06 |
| 1558908822 | Margaret Prygon | Pediatrics | 2620 Majestic Dr, Wilmington, DE 19810-2438 | 2019-12-05 |
| 1811309271 | Joanna Laura Shaffer | Pediatrics | 2055 Limestone Rd Ste 300, Wilmington, DE 19808 | 2014-05-20 |
| 1962841841 | Suguna Patibanda | Pediatrics | 2719 Pickering Rd, Wilmington, DE 19808-3636 | 2013-06-24 |
| 1952643314 | H. Leon Aussprung IIi | Pediatrics | 4619 Weldin Rd, Wilmington, DE 19803-4825 | 2013-03-25 |
| 1841556891 | Rachel A Overdevest | Pediatrics | 5500 Skyline Dr Ste 4, Wilmington, DE 19808-1772 | 2012-04-04 |
| 1770851925 | Forrest Glenn Hawkins | Pediatrics | 3 Perth Dr, Wilmington, DE 19803-2612 | 2011-12-02 |
| 1881987311 | Meghan Elizabeth Dougherty | Pediatrics | 2212 S 17th St, Wilmington, NC 28401-7515 | 2011-05-17 |
| 1467787184 | Annuradha Goel | Pediatrics | 1602 Jessup Street, Wilmington, DE 19802-4210 | 2009-10-14 |
| 1205078243 | Wilmington Health Pllc | Pediatrics | 4320 Henson Dr, Wilmington, NC 28405-7424 | 2009-04-06 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on DR. ERIC MICHAEL 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.