DR. MARK T JACKSON (NPI# 1447208871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447208871 |
| Entity Type | Individual |
| Full Name | DR. MARK T JACKSON |
| Credential | M.D. |
| Practice Address |
500 Centre Park Dr Asheville NC 28805-1262 |
| Practice Telephone | 8282544337 |
| Practice Fax Number | 8282519240 |
| Mailing Telephone | 8282544337 |
| Mailing Fax Number | 8282519240 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2016-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 200201481 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89135C7 | 05 | |
| DEA REGISTRATION | BJ8156881 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134755721 | Mark Wayne Jackson | Occupational Therapist | 8608 Marys Creek Dr, Benbrook, TX 76116-7624 | 2020-03-16 |
| 1811409535 | Mark Jackson | Driver | 26048 Pine Tree Rd, Rhoadesville, VA 22542-8549 | 2017-11-03 |
| 1932488194 | Mark Monroe Jackson | Social Worker | 119 Kona Dr, Galveston, TX 77554-8623 | 2011-08-05 |
| 1477860757 | Mark Allan Jackson | Technician, Other | 322 S Jefferson St, Louisa, KY 41230-1316 | 2010-09-08 |
| 1063620516 | Mark Kent Jackson | Pharmacist | 605 Hwy 31 South, Suite D, Athens, AL 35611 | 2007-05-18 |
| 1528289881 | Mark Jackson | Preventive Medicine | 10 Standing Rock Agency Avenue, Fort Yates, ND 58538 | 2007-05-02 |
| 1255470209 | Mark F Jackson | Anesthesiology | 3930 Us 1 S, Saint Augustine, FL 32086-7089 | 2007-02-06 |
| 1598788796 | Mark K Jackson | Dentist | 7007 Old Sauk Road, Madison, WI 53717 | 2006-07-26 |
| 1003877077 | Mark R. Jackson | Emergency Medicine | 1474 E Erda Way, Tooele, UT 84074-9737 | 2006-03-30 |
| 1073585238 | Mark A Jackson | Family Medicine | 1000 Pavilions Circle, Mark A Jackson Md Plc, Traverse City, MI 49684 | 2006-02-02 |
| Street Address |
500 CENTRE PARK DR |
| City | ASHEVILLE |
| State | NC |
| Zip Code | 28805-1262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265414619 | Brian P O'donnell | Pediatrics | 500 Centre Park Dr, Asheville, NC 28805-1262 | 2005-11-18 |
| 1568647972 | Lindsay A Livengood | Nurse Practitioner | 500 Centre Park Dr, Asheville, NC 28805-1262 | 2008-01-03 |
| 1982652228 | Carol A. Long | Pediatrics | 500 Centre Park Dr, Asheville, NC 28805-1262 | 2006-05-05 |
| 1083662829 | Terry C. Childers | Pediatrics | 500 Centre Park Dr, Asheville, NC 28805-1262 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497266373 | Rhianna Appel | Counselor | 552 New Haw Creek Rd Ste A, Asheville, NC 28805 | 2017-10-18 |
| 1215468475 | Elizabeth Torres Biebinger | Hearing Instrument Specialist | 437 Swannanoa River Rd, Asheville, NC 28805 | 2017-03-21 |
| 1366998932 | Raneem A Mubaslat | Pharmacist | 81 S Tunnel Rd, Asheville, NC 28805 | 2016-09-01 |
| 1578911400 | Holli Cherubino | Counselor | 19 Tunnel Road Suite D, Asheville, NC 28805 | 2016-06-01 |
| 1023405511 | Michael Racine | Counselor | 119 Tunnel Road, Suite D, Asheville, NC 28805 | 2015-04-22 |
| 1336491174 | Allyson A. Stone | Counselor | 1100tunnel Rd, Charles George Va Medical Center, Asheville, NC 28805 | 2012-10-03 |
| 1841593068 | Linda Lynn Stroud | Physical Therapist | 39 Botany Dr, Asheville, NC 28805 | 2010-12-09 |
| 1336458926 | Derry Catherine O'kane | Counselor | 20 Riverbend Drive, Asherville, NC 28805 | 2010-09-29 |
| 1447434568 | Elsa C Barnes | Dietitian, Registered | 4 Spring Lawn Way, Asheville, NC 28805 | 2007-12-26 |
| 1194929141 | Linda Marie Lentz | Internal Medicine | Asheville Va Medical Center, 1100 Tunnel Road, Asheville, NC 28805 | 2007-06-13 |
| Find all providers in zip 28805 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568728467 | Myriah Zeien-tarantelli | Pediatrics | 11 Vanderbilt Ter, Asheville, NC 28806 | 2012-04-04 |
| 1992024525 | Margaret Elizabeth Goodwin | Pediatrics | 500 Centrepark Dr, Asheville, NC 28805-1262 | 2010-05-21 |
| 1043327497 | Peggy E O'hara | Pediatrics | 47 Huntington Chase Dr, Asheville, NC 28805-1179 | 2006-08-23 |
| 1013920198 | Melissa Thingvoll | Pediatrics | 11 Vanderbilt Park Drive, Olson Huff Center for Child Development, Asheville, NC 28803 | 2006-08-13 |
| 1528092830 | Susan R Cohen | Pediatrics | 77 Mcdowell St, Asheville, NC 28801-4435 | 2006-07-10 |
| 1164470134 | Mountain Area Pediatric Associates, P.a. | Pediatrics | 500 Centrepark Drive, Asheville, NC 28805-1262 | 2006-05-04 |
| 1366403818 | John Clarke Mcintosh | Pediatrics | 2 Walden Ridge Dr, Suite 20b, Asheville, NC 28803-8597 | 2006-03-31 |
| 1073574190 | Pediatric Pulmonology and Sleep Disorders of Wnc, Pa | Pediatrics | 131 Mcdowell St, Suite 203, Asheville, NC 28801-4453 | 2006-03-29 |
| 1326018912 | Alberto Luis Leon | Pediatrics | 711 New Leicester Hwy, Asheville, NC 28806-1048 | 2006-01-25 |
| 1043290695 | John Templeton | Pediatrics | 40 N Merrimon Ave Ste 117, Asheville, NC 28804-1368 | 2006-01-19 |
| Find all providers in ASHEVILLE | ||||
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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.