MR. PATRICK LOUIS JACKSON SR. (NPI# 1427273713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427273713 |
| Entity Type | Individual |
| Full Name | MR. PATRICK LOUIS JACKSON SR. |
| Practice Address |
58110 W W Harleaux St Plaquemine LA 70764-3230 |
| Mailing Address |
58110 W W Harleaux St P.o . Box -986 Plaquemine LA 70764-3230 |
| Practice Telephone | 2253854251 |
| Practice Fax Number | 2253854251 |
| Mailing Telephone | 2253854251 |
| Mailing Fax Number | 2253854251 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 332B00000X | LA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341097 | Patrick Dale Jackson | Pharmacist | 19300 S Hamilton Ave Ste 170-180, Gardena, CA 90248-4400 | 2020-09-17 |
| 1871141457 | Patrick Dior Jackson | Counselor | 5111 S 3rd St, Louisville, KY 40214-2601 | 2019-08-28 |
| 1962968560 | Patrick Jackson | Behavior Technician | 918 Eisenhower Dr, Rock Springs, WY 82901-4449 | 2019-02-19 |
| 1093253833 | Patrick Jackson | Chiropractor | 630 National Hwy, Thomasville, NC 27360-2601 | 2017-02-01 |
| 1629414701 | Patrick Jackson | Emergency Medicine | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2013-05-16 |
| 1548587835 | Patrick E Jackson | Internal Medicine | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2010-04-26 |
| 1619062908 | Patrick Jackson | Dentist | 16 Washington St, Toms River, NJ 08753-7643 | 2006-10-04 |
| 1508865940 | Patrick Jackson | Surgery | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2005-07-19 |
| Street Address |
58110 W W HARLEAUX ST |
| City | PLAQUEMINE |
| State | LA |
| Zip Code | 70764-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659841138 | Access Health Louisiana | Clinic/Center | 58650 Iron Farm Road, Plaquemine, LA 70764 | 2018-11-28 |
| 1982194817 | The Harmony Center, Inc. | Family Medicine | 59213 Riverwest Dr., Plaquemine, LA 70764 | 2018-05-16 |
| 1770085938 | Angelica Darlynetta Peterson | Counselor | 58205 Bayou Jacob Rd, Plaquemine, LA 70764 | 2018-03-05 |
| 1841727500 | Bruce Greene | Counselor | 22900 Blakeney Dr, Plaqumine, LA 70764 | 2017-05-12 |
| 1104359801 | Gina J. Martin | Counselor | 58155 Chinn Street, Suite A, Plaquemine, LA 70764 | 2017-04-10 |
| 1831555713 | Dwayne Harmson | Social Worker | 23905 Castle Court St, Plaquemine, LA 70764 | 2016-01-08 |
| 1356718662 | St Gabriel Health Clinic, Inc | Clinic/Center | 24360 Enterprise Boulevard, Plaquemine, LA 70764 | 2015-08-24 |
| 1013344621 | Ochnser Health Center-eyecare Iberville | Eyewear Supplier (Equipment, not the service) | 25420 La Highway 1, Suite E, Plaquemine, LA 70764 | 2013-09-27 |
| 1861657421 | Signs & Wonders Community Mental Health Center LLC | Clinic/Center | 25341 Hwy 1 South, Plaquemine, LA 70764 | 2008-07-23 |
| 1205018389 | Physicians Imaging - Iberville LLC | Clinic/Center | 59295 River West Drive, Suite D, Plaquemine, LA 70764 | 2007-11-30 |
| Find all providers in zip 70764 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447715875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 24555 Highway 1, Plaquemine, LA 70764-4171 | 2019-02-11 |
| 1871809210 | Judy M Salvadras | Durable Medical Equipment & Medical Supplies | 25905 Winter St, Plaquemine, LA 70764-6326 | 2010-08-23 |
| 1104023175 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 25420 Highway 1 Ste D, Plaquemine, LA 70764-7508 | 2007-07-02 |
| 1669676706 | A & A Durable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 24215 Eden St, Plaquemine, LA 70764-3714 | 2007-06-13 |
| 1427156322 | Carefree Medical Supply,llc | Durable Medical Equipment & Medical Supplies | 25032 Hwy 1 South, Plaquemine, LA 70764 | 2006-09-21 |
| 1699879528 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 24600 Church St, Plaquemine, LA 70764 | 2006-09-12 |
| 1326065681 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 59690 Belleview Rd, Plaquemine, LA 70764-6501 | 2006-07-16 |
| 1043460843 | Linda M Jackson | Durable Medical Equipment & Medical Supplies | 24215 Eden St, Plaquemine, LA 70764-3714 | 2008-09-29 |
| 1033256722 | Pmnh, LLC | Durable Medical Equipment & Medical Supplies | 24320 Ferdinand St, Plaquemine, LA 70764-3634 | 2007-01-31 |
| 1083721203 | Max Rehab | Durable Medical Equipment & Medical Supplies | 23930 Calvin St, Plaquemine, LA 70764-3104 | 2006-08-24 |
| Find all providers in PLAQUEMINE | ||||
| City | PLAQUEMINE |
| Zip Code | 70764 |
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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.