DR. JOSEPH WELLINGTON JACKSON (NPI# 1417994179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417994179 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH WELLINGTON JACKSON |
| Credential | MD |
| Practice Address |
1501 Forest Ave Montgomery AL 36106-1539 |
| Mailing Address |
Po Box 5033 Montgomery AL 36103-5033 |
| Practice Telephone | 3342653140 |
| Mailing Telephone | 3342653140 |
| Mailing Fax Number | 3342653150 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
9002 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891152773 | Joseph Granville Jackson | Counselor | 411 Sparrow St, Lake Providence, LA 71254-3035 | 2016-01-22 |
| 1538560123 | Joseph Ryan Jackson | Chiropractor | 1043 Brownsville Rd, Morgantown, KY 42261-7011 | 2014-09-15 |
| 1922392927 | Joseph Alling Jackson | Social Worker | 66 Old Stockbridge Rd, Lenox, MA 01240-2810 | 2011-06-07 |
| 1760708127 | Joseph L Jackson | Dentist | 1241 Riverside Ave, Fort Collins, CO 80524-3204 | 2010-04-10 |
| 1962731315 | Joseph S Jackson | Counselor | 502 Downing Ct, Exton, PA 19341-2090 | 2009-12-14 |
| 1851547749 | Joseph Loy Jackson | Dentist | 2719 Limestone Pkwy, Gainesville, GA 30501-1472 | 2008-08-12 |
| 1235306143 | Joseph Jackson | Physical Therapist | 15640 S Normandie Ave, Gardena, CA 90247-4016 | 2008-05-09 |
| 1518175520 | Joseph William Jackson | Dentist | 322 N Elm St, Oxford, OH 45056-1123 | 2007-05-21 |
| 1801918602 | Joseph C Jackson Jr. | Dentist | 147 2nd Ave S Ste 308, Saint Petersburg, FL 33701-4393 | 2007-04-04 |
| 1073633624 | Joseph A Jackson | Psychiatry & Neurology | 30941 Mill Ln Ste G-132, Spanish Fort, AL 36527-5456 | 2007-03-29 |
| Street Address |
1501 FOREST AVE |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891295275 | Fresenius Vascular Care Montgomery Asc LLC | Clinic/Center | 1501 Forest Ave, Montgomery, AL 36106-1539 | 2018-02-13 |
| 1265810469 | Fresenius Vascular Care Montgomery Lllp | Radiology | 1501 Forest Ave, Montgomery, AL 36106-1539 | 2015-05-08 |
| 1659544138 | Eugene Kofi Essandoh | Internal Medicine | 1501 Forest Ave, Montgomery, AL 36106-1539 | 2008-04-07 |
| 1407944630 | Digestive Disorders and Liver Disease Associates, PC | Internal Medicine | 1501 Forest Ave, Montgomery, AL 36106-1539 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1316447063 | Jackson Hospital & Clinic, Inc. | Internal Medicine | 1722 Pine St Ste 406, Montgomery, AL 36106-1159 | 2018-02-20 |
| 1629408083 | Digestive Disease Associates PC | Internal Medicine | 451 Saint Lukes Dr, Montgomery, AL 36117-7107 | 2013-11-22 |
| 1487741237 | Robert Randolph Brinson | Internal Medicine | 7080 Sydney Curv, Montgomery, AL 36117-3508 | 2006-10-05 |
| 1043274830 | Mohamad Riad Sankari | Internal Medicine | 400 6th Ave, Montgomery, WV 25136-2117 | 2006-04-17 |
| 1962475020 | William Penn White IIi | Internal Medicine | 4126 Carmichael Ct, Montgomery, AL 36106-2871 | 2006-02-09 |
| 1689661860 | Richard Ginsburg | Internal Medicine | 4146 Carmichael Rd Ste B, Montgomery, AL 36106-3634 | 2005-10-03 |
| 1841736683 | Jackson Hospital and Clinic Inc. | Internal Medicine | 1722 Pine St, Suite 204, Montgomery, AL 36106-1103 | 2017-01-18 |
| 1306070818 | Heather Echols | Internal Medicine | 4126 Carmichael Ct, Montgomery, AL 36106-2871 | 2009-05-12 |
| 1114176419 | Pranav Babulal Patel | Internal Medicine | 2119 E South Blvd, Suite 200, Montgomery, AL 36116-2454 | 2008-09-11 |
| 1174785562 | Viplove Senadhi | Internal Medicine | 1722 Pine St, Suite 801, Montgomery, AL 36106-1103 | 2008-06-27 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
Please comment or provide details below to improve the information on DR. JOSEPH WELLINGTON 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.