MORRIS B JACKSON (NPI# 1477511921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477511921 |
| Entity Type | Individual |
| Full Name | MORRIS B JACKSON |
| Credential | MD |
| Practice Address |
3920 S Dupont Sq Ste C Louisville KY 40207-4615 |
| Mailing Address |
101 Hospital Blvd Jeffersonville IN 47130-3769 |
| Practice Telephone | 8122823899 |
| Practice Fax Number | 8122824172 |
| Mailing Telephone | 8122823899 |
| Mailing Fax Number | 8122824172 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2016-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 01039636A | IN | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 22181 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE | 00895267 | 01 |
| KY | 64221815 | 05 | |
| KY | RAILROAD MEDICARE | P00314088 | 01 |
| IN | 201028460 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811288814 | Morris Allen Jackson | Counselor | 12529 High Meadow Dr, Oklahoma City, OK 73120-1714 | 2011-04-25 |
| 1346204138 | Morris K Jackson | Radiology | 602 Hurst, Center, TX 75935 | 2006-04-17 |
| Street Address |
3920 S DUPONT SQ STE C |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275961823 | Stephanie Strobl | Nurse Practitioner | 3920 S Dupont Sq Ste C, Louisville, KY 40207-4615 | 2013-10-17 |
| 1851617732 | Jonathan Lewis Witten | Urology | 3920 S Dupont Sq Ste C, Louisville, KY 40207-4615 | 2010-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700297728 | Ahmed Haddad | Urology | 401 East Chestnut Street, #480, Louisville, KY 40202-9110 | 2014-05-13 |
| 1184915373 | Kellen Bo Yung Choi | Urology | 401 E Chestnut St Unit 480, Louisville, KY 40202-5704 | 2011-04-22 |
| 1568566792 | Arnold M Belker | Urology | 2710 Alia Cir, Louisville, KY 40222-6494 | 2006-09-08 |
| 1619986973 | Dennis S Peppas | Urology | 4123 Dutchman's Lane, Suite 102, Louisville, KY 40207-5832 | 2006-08-05 |
| 1316926298 | Jamie C. Messer | Urology | 234 E Gray St Ste 662, University of Louisville Department of Urology, Louisville, KY 40202-1921 | 2006-01-10 |
| 1841294659 | John G Hubbard | Urology | 3924 S Dupont Sq, Suite A, Louisville, KY 40207-5912 | 2005-06-09 |
| 1356991939 | Advanced Urology, Pllc | Urology | 90 Health Park Dr Ste 340, Louisville, CO 80027-9586 | 2019-09-16 |
| 1790124055 | First Urology, Psc | Urology | 8442 Dixie Hwy, Louisville, KY 40258-1140 | 2013-06-20 |
| 1598002032 | Sandhya R Rao | Urology | 234 E Gray St Ste 662, Louisville, KY 40202-1921 | 2013-01-03 |
| 1336406388 | University of Louisville Physicians, Inc. | Urology | 550 S Jackson St, 2nd Floor, Louisville, KY 40202-1622 | 2012-04-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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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.