INGRID W JACKSON MD INC. P.C. (NPI# 1396970976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396970976 |
| Entity Type | Organization |
| Organization Name | INGRID W JACKSON MD INC. P.C. |
| Practice Address |
13321 N Meridian Ave Ste 314 Oklahoma City OK 73120-8356 |
| Mailing Address |
6957 Nw Expressway # 254 Oklahoma City OK 73132-3533 |
| Practice Telephone | 4054707189 |
| Practice Fax Number | 4054707712 |
| Mailing Telephone | 4054737927 |
| Mailing Fax Number | 4054707712 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |
| Authorized Official Name | DR. INGRID WORRELL JACKSON (OWNER/PRESIDENT) |
| Authorized Official Telephone | 4054737927 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 15786 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100220060B | 05 |
| Street Address |
13321 N MERIDIAN AVE STE 314 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-8356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689307 | Michael Kenneth Crawford | Internal Medicine | 13321 N Meridian Ave, Ste 210, Oklahoma City, OK 73120-8356 | 2005-06-20 |
| 1710214267 | Affiliated Anesthesiologists, LLC | Anesthesiology | 13321 N Meridian Ave, Suite 402, Oklahoma City, OK 73120-8356 | 2009-11-04 |
| 1700020468 | Steven David Cromwell | Anesthesiology | 13321 N Meridian Ave, Ste 402, Oklahoma City, OK 73120-8356 | 2009-04-25 |
| 1215120308 | James A Totoro Md Pllc | Specialist | 13321 N Meridian Ave, Suite 400, Oklahoma City, OK 73120-8356 | 2007-08-22 |
| 1891815841 | Lawrence V Deck, M.d., PC | Internal Medicine | 13321 N Meridian Ave, Ste 212, Oklahoma City, OK 73120-8356 | 2007-03-30 |
| 1831241587 | Carl L. Sylvester | Specialist | 13321 N Meridian Ave, Suite 110, Oklahoma City, OK 73120-8356 | 2007-01-16 |
| 1023184231 | Garlanda Lea Parker | Pediatrics | 13321 N Meridian Ave, Suite 200, Oklahoma City, OK 73120-8356 | 2006-11-28 |
| 1396750139 | Samuel Curtis Oliphant Jr. | Optometrist | 13321 N Meridian Ave, Suite 110, Oklahoma City, OK 73120 | 2006-07-30 |
| 1467495911 | Lawrence Vivian Deck IIi | Specialist | 13321 N Meridian Ave, Ste 400a, Oklahoma City, OK 73120-8356 | 2006-06-13 |
| 1043298177 | James Amedio Totoro | Specialist | 13321 N Meridian Ave, Suite 400, Oklahoma City, OK 73120-8356 | 2006-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039632 | Axiom Medical Solutions, LLC | Family Medicine | 14132 Se 134th St, Oklahoma City, OK 73165-7669 | 2020-09-28 |
| 1104437219 | L and M Investments LLC | Family Medicine | 6001 Nw 139th St, Oklahoma City, OK 73142-1919 | 2020-08-12 |
| 1235748617 | Brook Noel Leland | Family Medicine | 3329 Nw 22nd St, Oklahoma City, OK 73107-3021 | 2020-07-30 |
| 1043835176 | Thomas Patrick Owens IIi | Family Medicine | 900 Ne 10th Street, Oklahoma City, OK 73104-5420 | 2020-06-15 |
| 1730703562 | Michael Williamson | Family Medicine | 3500 Nw 56th St Ste 10, Oklahoma City, OK 73112-4529 | 2020-06-08 |
| 1295363620 | Saint Medical Group, LLC | Family Medicine | 3400 S Douglas Blvd Ste 307, Oklahoma City, OK 73150-1001 | 2020-03-31 |
| 1881220580 | Sarah Laing | Family Medicine | 1111 N Lee Ave Ste 305, Oklahoma City, OK 73103-2620 | 2020-03-14 |
| 1881225290 | Neans Lynn Denson | Family Medicine | 2815 Sw 119th St, Oklahoma City, OK 73170-2605 | 2020-02-04 |
| 1114563699 | Aim Health Clinics, LLC | Family Medicine | 2301 W I 44 Service Rd Ste 310, Oklahoma City, OK 73112-8729 | 2019-11-20 |
| 1841843265 | Stephanie N White | Family Medicine | 3400 Nw Expressway Bldg C-815, Oklahoma City, OK 73112-4493 | 2019-07-24 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
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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.