DANIEL JACKSON (NPI# 1477991164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477991164 |
| Entity Type | Individual |
| Full Name | DANIEL JACKSON |
| Credential | M.D. |
| Practice Address |
550 S Jackson St Acb-1st Floor Louisville KY 40202-1622 |
| Mailing Address |
747 S 5th St Apt. 36 Louisville KY 40203-2160 |
| Practice Telephone | 5028525866 |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780043091 | Daniel Jackson | Occupational Therapy Assistant | 2906 Weatherstone Dr, Kirksville, MO 63501-5658 | 2016-02-15 |
| 1124342803 | Daniel Jackson | Dentist | 821 W Pine St, Poplar Bluff, MO 63901-4956 | 2010-03-24 |
| 1649354200 | Daniel Dewey Jackson | Dentist | 277 5th Street, Ashland, OR 97520 | 2006-10-24 |
| 1225042609 | Daniel Wayne Jackson Jr. | Psychologist | 1500 Norwood Dr, #205, Hurst, TX 76054-3651 | 2006-07-28 |
| 1972502391 | Daniel Mark Jackson | Optometrist | 713 N 114th St, Omaha, NE 68154-1515 | 2005-07-18 |
| 1639795776 | Daniel L Jackson | Occupational Therapist | 4015 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5235 | 2020-06-24 |
| 1902369549 | Daniel Brett Jackson | Student in an Organized Health Care Education/Training Program | 3690 Grandview Parkway, Pathology Department, Birmingham, AL 35243 | 2019-04-10 |
| 1366975989 | Daniel Jackson | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210 | 2017-04-10 |
| 1689028516 | Daniel Jackson | Emergency Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2016-04-18 |
| 1750773388 | Daniel Jackson | Case Manager/Care Coordinator | 81557 Dr Carreon Blvd Ste C9, Indio, CA 92201-5562 | 2015-02-18 |
| Street Address |
550 S JACKSON ST ACB-1ST FLOOR |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821083478 | Haeshik Gorr | Internal Medicine | 550 S Jackson St, Louisville, KY 40202-1622 | 2005-09-20 |
| 1346867611 | Taylor Hawkins | Pharmacist | 550 S Jackson St, Louisville, KY 40202-1622 | 2020-07-02 |
| 1811510415 | Courtni Breann Carwile | Registered Nurse | 550 S Jackson St, Louisville, KY 40202-1622 | 2020-05-19 |
| 1144849704 | Wylie Chen Tang | Student in an Organized Health Care Education/Training Program | 550 S Jackson St, Louisville, KY 40202-1622 | 2020-04-14 |
| 1427686971 | Vishwa Shah | Student in an Organized Health Care Education/Training Program | 550 S Jackson St, Louisville, KY 40202-1622 | 2020-03-31 |
| 1740818004 | Shannon Rose Strader | Student in an Organized Health Care Education/Training Program | 550 S Jackson St, Louisville, KY 40202-1622 | 2020-03-31 |
| 1871121350 | Molly Raye Bedenbaugh | Student in an Organized Health Care Education/Training Program | 550 S Jackson St, Louisville, KY 40202-1622 | 2020-03-30 |
| 1841828670 | Austin Sowers | Student in an Organized Health Care Education/Training Program | 550 S Jackson St, Louisville, KY 40202-1622 | 2020-03-28 |
| 1538700950 | Rex Dewan | Nurse Practitioner | 550 S Jackson St, Louisville, KY 40202-1622 | 2019-10-07 |
| 1043866155 | Alok Ravindra Amraotkar | General Practice | 550 S Jackson St, Acb 3rd Floor, Louisville, KY 40202-1622 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566553 | Kenley N Joelson | Student in an Organized Health Care Education/Training Program | 2400 S 4th St Unit 710, Louisville, KY 40208-1526 | 2020-10-21 |
| 1235746512 | Nina S Smith | Student in an Organized Health Care Education/Training Program | 1115 Garvin Pl # 120, Louisville, KY 40203-3178 | 2020-09-30 |
| 1215541834 | Sarah Sloan Goldberg | Student in an Organized Health Care Education/Training Program | 11201 Bodley Dr, Louisville, KY 40223-1387 | 2020-09-01 |
| 1396361630 | Teylor Elizabeth Harrity | Student in an Organized Health Care Education/Training Program | 123 Woodruff 5 Rd, Louisville, MS 39339-7740 | 2020-06-23 |
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1790308161 | Sue Ann Heironimus | Student in an Organized Health Care Education/Training Program | 7516 Creekton Dr, Louisville, KY 40241-6430 | 2020-05-20 |
| 1780207274 | Isabel Misha Vyazmensky | Student in an Organized Health Care Education/Training Program | 2211 S Brook St Room 105, Louisville, KY 40292-2442 | 2020-05-19 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1831711027 | James Stephen Stotts | Student in an Organized Health Care Education/Training Program | 3018 Carson Way, Louisville, KY 40205-3116 | 2020-05-11 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on DANIEL 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.