JACKSON ONCOLOGY ASSOCIATES,PLLC


Address: 2969 Curran Dr N Ste 200, Jackson, MS 39216-4121
Phone: 6019745601

JACKSON ONCOLOGY ASSOCIATES,PLLC (NPI# 1346379500) 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) 1346379500
Entity Type Organization
Organization Name JACKSON ONCOLOGY ASSOCIATES,PLLC
Practice Address 2969 Curran Dr N Ste 200
Jackson
MS 39216-4121
Mailing Address 1227 N State St Ste 101
Jackson
MS 39202-2002
Practice Telephone 6019745601
Practice Fax Number 6019745699
Mailing Telephone 6013552485
Mailing Fax Number 6013531463
Enumeration Date 2007-03-05
Last Update Date 2020-09-16
Authorized Official Name RICHARD W GRIFFITH (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6019745578
Is Organization Subpart Y
Parent Organization Name JACKSON ONCOLOGY ASSOCIATES, PLLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 03330910 05

Office Location

Street Address 2969 CURRAN DR N STE 200
City JACKSON
State MS
Zip Code 39216-4121

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538684857 Sarah Ballinger Nurse Practitioner 2969 Curran Dr N Ste 200, Jackson, MS 39216 2017-08-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
Find all providers in zip 39216

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649469743 Central Clinic, PC Internal Medicine 603 Lansing Ave, Jackson, MI 49202-3209 2007-10-15
1780713966 Jackson Oncology Associates, Pllc Internal Medicine 1860 Chadwick Dr Ste 301, Jackson, MS 39204-3467 2007-03-05
1639119589 Justin T Baker Internal Medicine 1227 N State St Ste 101, Jackson, MS 39202-2002 2006-06-08
1093779456 Omar Ahmad Internal Medicine 36 Sandstone Cir, Suite A & B, Jackson, TN 38305-2098 2006-04-13
1235101437 Gary G Shi Internal Medicine 617 New York Ranch Rd, Jackson, CA 95642-9328 2006-02-02
1144290032 Brian N Walker Internal Medicine 322 Hospital Blvd, Jackson, TN 38305 2006-01-24
1740284389 Van L Lackey Internal Medicine 1227 N State St, Ste 101, Jackson, MS 39202-2002 2005-06-10
1407393374 W.a. Foote Memorial Hospital, Inc Internal Medicine 205 N. East Ave, Jackson, MI 49201 2017-01-30
1740607225 West Clinic, P.C. Internal Medicine 322 Hospital Blvd, Jackson, TN 38305-2079 2014-03-24
1205193570 Eiran Avraham Warner Internal Medicine 205 N East Ave, Jackson, MI 49201-1753 2012-04-11
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39216

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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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