DR. MICHAEL VINCENT JACKSON


Address: 236 W 6th St, Ste 100, Reno, NV 89503-4517
Phone: 7759825000

DR. MICHAEL VINCENT JACKSON (NPI# 1487637922) 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) 1487637922
Entity Type Individual
Full Name DR. MICHAEL VINCENT JACKSON
Credential MD
Practice Address 236 W 6th St
Ste 100
Reno
NV 89503-4517
Mailing Address 850 Harvard Way
Reno
NV 89502-2055
Practice Telephone 7759825000
Practice Fax Number 7759823900
Mailing Telephone 7759825262
Mailing Fax Number 7759825496
Enumeration Date 2005-11-29
Last Update Date 2017-12-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
4867 NV Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
4867 NV Allopathic & Osteopathic Physicians
Y 207RS0012X Internal Medicine
Specialization: Sleep Medicine
4867 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV 002016249 05

Other Providers MICHAEL JACKSON

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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 236 W 6TH ST
STE 100
City RENO
State NV
Zip Code 89503-4517

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215927124 Ronald Lewis Smith Internal Medicine 236 W 6th St, #206, Reno, NV 89503-4517 2005-10-24
1538555602 Jennifer Amber Brown Nurse Practitioner 236 W 6th St, Suite 200, Reno, NV 89503-4517 2015-04-15
1588067243 Holly T. Ashley, Md, Pllc Obstetrics & Gynecology 236 W 6th St, Suite 303, Reno, NV 89503-4517 2014-10-08
1992133060 Jennifer Shellane Bickford Nurse Practitioner 236 W 6th St, Suite 200, Reno, NV 89503-4517 2013-10-28
1467618926 Annabelle Cardona Optometrist 236 W 6th St, Suite 100, Reno, NV 89503-4517 2008-08-04
1528231511 Margaret E. M. Van Meter Internal Medicine 236 W 6th St, Suite 400, Reno, NV 89503-4517 2008-04-10
1861664468 Mtsc Audiologist 236 W 6th St, Suite 108, Reno, NV 89503-4517 2008-03-24
1538338355 John T Paas Md Ltd Specialist 236 W 6th St, #301, Reno, NV 89503-4517 2008-02-26
1598934325 Rafaela G Hernandez Md Chtd Specialist 236 W 6th St, #303, Reno, NV 89503-4517 2008-02-26
1689873358 Khalid Monzer Internal Medicine 236 W 6th St, Suite 200, Reno, NV 89503-4517 2007-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639654932 Board of Regents, Nevada System of Higher Education Assistant Behavior Analyst 401 West 2nd Street, Reno, NV 89503 2018-10-02
1356825392 Shelby Downs Behavior Technician 2730 W 7th St, Reno, NV 89503 2018-09-15
1659805570 Lee Ann Malone Counselor 200 W 1st St, Ste 200, Reno, NV 89503 2017-04-18
1255786828 Eric Allen Hare Counselor 1201 North Stewart Street, Sutie 120, Carson City, NV 89503 2016-05-02
1407226095 Travis B Adams Dentist 855 W Seventh St, Ste 200, Reno, NV 89503 2015-09-25
1477933877 Shawn Mahan Counselor 900 W. First Streeet, Reno, NV 89503 2015-06-02
1801144431 Yesenia Hernandez Community Health Worker 900w 1st Street Ste.200, Reno, NV 89503 2012-08-29
1053667501 Barbara Frey Social Worker 580 W 5th Street, Reno, NV 89503 2012-08-01
1548546146 The Note-ables Day Training, Developmentally Disabled Services 925 Riverside Drive, Suite 6, Reno, NV 89503 2011-10-26
1194011270 Joanne Krumpe Psychologist 507 W. 6th St, Reno, NV 89503 2011-06-27
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Taxonomy Information

Taxonomy Code 207RS0012X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sleep Medicine

Taxonomy Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457913352 Sleep Disorders Group Internal Medicine 2145 Green Vista Dr Ste 112, Sparks, NV 89431-8513 2019-07-01
1619417136 Meliorem Sleep Services Internal Medicine 3507 Wedekind Rd, Sparks, NV 89431-1027 2017-03-02
1659564516 Unsom Multispecialty Group Practice North Inc Internal Medicine 2225 Green Vista Dr, 308, Sparks, NV 89431-8537 2007-08-23
1720602188 Michael P Chan, Md, Ms, Rst, Inc Internal Medicine 2345 Spruce Goose St # C234, Las Vegas, NV 89135-2625 2020-06-02
1487022596 Optimal Sleep Services LLC Internal Medicine 6 Steptoe Cir, Ely, NV 89301-2692 2015-09-04
1932585932 Las Vegas Lungs LLC Internal Medicine 2481 Professional Ct, Las Vegas, NV 89128-0825 2015-08-03
1922262187 The Sleep Center of Nevada Internal Medicine 5701 W Charleston Blvd Ste 105, Las Vegas, NV 89146-1256 2008-07-16
1952598112 Thomson K Chemplavil Md PC Internal Medicine 8965 S Pecos Rd Ste 11a, Henderson, NV 89074-7159 2007-10-01
1023160645 Clifford J. Molin Md Ltd Internal Medicine 2481 Professional Ct, Las Vegas, NV 89128 2007-01-16

Competitor

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City RENO
Zip Code 89503

Improve Information

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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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