DR. MICHAEL GERARD JACKSON


Address: 1900 Don Wickham Dr Ste 110, Clermont, FL 34711-1980
Phone: 3522417275

DR. MICHAEL GERARD JACKSON (NPI# 1437354339) 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) 1437354339
Entity Type Individual
Full Name DR. MICHAEL GERARD JACKSON
Credential MD
Practice Address 1900 Don Wickham Dr Ste 110
Clermont
FL 34711-1980
Mailing Address 102 W Pineloch Ave Ste 23
Orlando
FL 32806-6100
Practice Telephone 3522417275
Practice Fax Number 3522417281
Mailing Telephone 4074817179
Mailing Fax Number 4074817190
Enumeration Date 2007-06-19
Last Update Date 2017-11-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology ME110404 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 004120900 05
FL RR MEDICARE P01024246 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
16650 N Dale Mabry Hwy, Tampa, FL 336181400 8132842229 8133771681

Other Providers MICHAEL JACKSON

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1295345346 Michael Frederick Jackson Massage Therapist 12702 E 33rd Ct, Spokane Valley, WA 99206-8372 2020-08-04
1295372993 Michael Jackson Chiropractor 5216 Cold Springs Way, Eugene, OR 97405-5213 2019-12-02
1801365382 Michael Jackson Durable Medical Equipment & Medical Supplies 5537b N Glenwood St Ste B, Garden City, ID 83714-1336 2018-11-14
1114441375 Michael Frank Jackson Jr. Physical Therapist 1806 Russell Pkwy Ste 1400, Warner Robins, GA 31088-5781 2017-07-31
1457809931 Michael Jackson Counselor 10001 W. Grand Avenue, Franklin Park, IL 60131 2016-09-14
1639625833 Michael Jackson Counselor 128 Mute Swan Place, Newark, DE 19711 2016-08-28
1467823104 Michael Jackson Occupational Therapy Assistant 1913 N Oakes St Apt D, Tacoma, WA 98406-7527 2015-10-07
1831576651 Michael Howard Jackson Family Medicine 4646 Nw Fielding Road, Topeka, KS 66618 2015-04-30
1063809846 Michael Jackson Social Worker 43518 Champlain Ct, Canton, MI 48188-1711 2015-04-20
1780922872 Michael A Jackson Pharmacist 585 Mcwilliams Rd Se Unit 2303, Atlanta, GA 30315-7571 2013-01-23

Office Location

Street Address 1900 DON WICKHAM DR STE 110
City CLERMONT
State FL
Zip Code 34711-1980

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932563202 Teresa Mendez Nurse Practitioner 1900 Don Wickham Dr Ste 110, Clermont, FL 34711-1980 2016-04-12
1558646877 Amir Homayoun Fazeli Obstetrics & Gynecology 1900 Don Wickham Dr Ste 110, Clermont, FL 34711-1980 2011-10-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316546344 Latricia Richards-smith Nurse Practitioner 3301 Hancock Rd, Clermont, FL 34711 2020-10-21
1073130399 Marissa Johnston Behavioral Analyst 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 2020-07-02
1649839432 New Foundations Aba Therapy, LLC Community/Behavioral Health 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 2019-06-06
1275006504 Innovative Medical Management Solutions LLC Skilled Nursing Facility 1775 Hooks Street, Clermont, FL 34711 2019-01-09
1851867766 Chantal P Baptiste Nurse Practitioner 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 2018-10-17
1346739539 Jennifer Brennan Behavior Technician 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 2018-05-03
1689163966 Chelsea Strickland Physical Therapy Assistant 10037 Stockbridge St, Clermont, FL 34711 2018-05-02
1316448921 Dana Renee Ottalagano Counselor 1635 E Highway 50 Ste 204, Clermont, FL 34711 2018-02-28
1306353842 Center of Change Inc. General Practice 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 2018-01-05
1003328642 Clermont Radiology LLC Clinic/Center 3725 South Highway 27, Suite 104, Clermont, FL 34711 2017-11-03
Find all providers in zip 34711

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942660410 Gloria Perez Obstetrics & Gynecology 1900 Don Wickham Dr Ste 130, Clermont, FL 34711-1979 2016-02-26
1114969839 Shelley C Glover Obstetrics & Gynecology 1725 E Highway 50, Suite B, Clermont, FL 34711-5188 2006-06-11
1669426656 Kristina Marie Mclean Obstetrics & Gynecology 4200 Hooks Street, Clermont, FL 34711-3514 2006-05-22
1255385779 Mary Beth Lewis-boardman Obstetrics & Gynecology 4200 Hooks Steet, Clermont, FL 34711-3514 2006-05-20
1528010485 Denise Kazmierczak Obstetrics & Gynecology 835 7th St, Clermont, FL 34711-2156 2006-05-17
1003815671 Matthew Steven Casavant Obstetrics & Gynecology 1900 Don Wickham Drive, Ste 120, Clermont, FL 34711-1947 2005-07-18
1497754121 South Lake Ob/gyn Obstetrics & Gynecology 1099 Citrus Tower Blvd, Ste 120, Clermont, FL 34711 2005-07-15
1386902203 Giselle Marie Torres Obstetrics & Gynecology 2400 Hook St, Clermont, FL 34711-3514 2012-04-28
1558646877 Amir Homayoun Fazeli Obstetrics & Gynecology 1900 Don Wickham Dr Ste 110, Clermont, FL 34711-1980 2011-10-18
1629360938 Debra Ortiz Obstetrics & Gynecology 2400 Hook St, Clermont, FL 34711-3514 2011-05-04
Find all providers in CLERMONT

Competitor

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City CLERMONT
Zip Code 34711

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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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