DAVID A. JACKSON (NPI# 1508000480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508000480 |
| Entity Type | Individual |
| Full Name | DAVID A. JACKSON |
| Credential | M.D. |
| Practice Address |
Navajo Route 4 Pinon Health Center Pinon AZ 86510 |
| Mailing Address |
Po Box 10 Pinon AZ 86510-0010 |
| Practice Telephone | 9287259500 |
| Mailing Telephone | 9287259500 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2014-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35.099840 | OH | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 35.099840 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003456708 | David Jackson | Clinical Neuropsychologist | 6 Parkway North Blvd, Deerfield, IL 60015-2522 | 2020-01-10 |
| 1194160580 | David Huntsman Jackson | Internal Medicine | 3647 Dunbarton Dr, Mountain Brk, AL 35223-2891 | 2013-04-30 |
| 1790089860 | David Creston Jackson | Dentist | 900 Se Ocean Blvd Ste 110b, Stuart, FL 34994-3503 | 2011-01-05 |
| 1851566467 | David Kenneth Jackson | Technician/Technologist | 4200 Elderon Ave, Baltimore, MD 21215-4802 | 2008-04-24 |
| 1275711350 | David Edward Jackson IIi | Massage Therapist | 3321 E 35th Ave, Lake Station, IN 46405-3016 | 2008-01-31 |
| 1548456502 | David Nathan Jackson | Physical Therapist | 7922 S Broadway Ave, Tyler, TX 75703-5242 | 2007-09-23 |
| 1063564748 | David Bruce Jackson | Radiology | 3233 Grand Ave # N415, Chino Hills, CA 91709-1489 | 2007-01-16 |
| 1912079641 | David Christopher Jackson | Chiropractor | 484 Turner Dr, Building E, Suite 103, Durango, CO 81303-7992 | 2006-11-15 |
| 1316017940 | David Isaac Jackson | Counselor | 946 Edgewood Ave, Trenton, NJ 08618-5304 | 2006-11-09 |
| 1629165170 | David Michael Jackson | Dentist | 3550 S 5600 W, Suite 3, West Valley City, UT 84120-2776 | 2006-10-06 |
| Street Address |
NAVAJO ROUTE 4 PINON HEALTH CENTER |
| City | PINON |
| State | AZ |
| Zip Code | 86510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518966134 | Karen Frieda Kilman | Physical Therapist | Navajo Route 4, Pinon, AZ 86510-8000 | 2005-07-15 |
| 1225635626 | Gladys Asong | Pharmacist | Navajo Route 4, Pinon, AZ 86510 | 2020-10-08 |
| 1396101408 | Karen Lynne Eisenbiegler | Pharmacist | Navajo Route 4, 2 Miles East of Pinon, Pinon, AZ 86510-0010 | 2016-01-05 |
| 1437536919 | Sandra Sangster | Dietitian, Registered | Navajo Route 4, Pinon, AZ 86510 | 2015-05-04 |
| 1063899540 | James P. Corcoran | Physical Therapist | Navajo Route 4, Pinon, AZ 86510 | 2015-05-04 |
| 1407150931 | David James Petrik | Optometrist | Navajo Route 4, Pinon Health Center, Pinon, AZ 86510 | 2010-12-23 |
| 1487822870 | Toni Lauren Zimmerman | Optometrist | Navajo Route 4, Pinon Health Center, Pinon, AZ 86510-1127 | 2008-02-19 |
| 1366657843 | Levon Olivia Hatathlie | Counselor | Navajo Route 4, Pinon, AZ 86510-0010 | 2007-05-10 |
| 1790818755 | Jeffrey Lawrence | Physical Therapist | Navajo Route 4, Pinon, AZ 86510 | 2007-03-13 |
| 1063549764 | Betty Bizahaloni | Social Worker | Navajo Route 4, Pinon, AZ 86510 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191429 | Steven Ngo | Pharmacist | Navajo Route 2 - 2 Miles East of Pinon, Pinon, AZ 86510 | 2020-10-15 |
| 1164996435 | Connie Ranger | Technician | 1.5 Mile West Pinon Rodeo Ground, Pinon, AZ 86510 | 2019-01-19 |
| 1528542420 | Megan Ritchey | Nurse Practitioner | 2007-2 Whipporwhill Springs Drive, Pinon, AZ 86510 | 2018-09-18 |
| 1598266876 | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility | Clinic/Center | 2175 State Road 4, Pinon, AZ 86510 | 2018-02-22 |
| 1336595040 | Earl Gerald Garcia Carlos | Family Medicine | Navajo Service Rte 41, Pinon, AZ 86510 | 2016-05-11 |
| 1215392097 | Charity Benson | Pharmacist | Nr4 2 Miles East of Pinon, Pinon, AZ 86510 | 2015-12-22 |
| 1780090761 | Daniel R Johnson | Nutritionist | Ihs Pinon Health Center Navajo Rt 4, Pinon, AZ 86510 | 2014-07-10 |
| 1851635734 | Lauren Kelli Houston | Pharmacist | Navajo Route 4, 2 Miles East of Pinon, Pinon, AZ 86510 | 2012-11-16 |
| 1659690287 | Edventures Group Pinon | Clinic/Center | 1 Mile North of Pinon Navajo Rt Hwy 41, Pinon, AZ 86510 | 2010-05-21 |
| 1578723748 | Karen Williams | Registered Nurse | Nr4 Two Miles East of Pinon, Pinon, AZ 86510 | 2008-06-11 |
| Find all providers in zip 86510 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962558197 | Virginia J. Vittor | Internal Medicine | Navajo Route 4, Pinon, AZ 86510 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376141598 | Bassi Clinic Pllc | Internal Medicine | 14175 W Indian School Rd Ste B4-139, Goodyear, AZ 85395-8407 | 2020-10-09 |
| 1841801735 | Usaholistics | Internal Medicine | 6614 E Aster Dr, Scottsdale, AZ 85254-4549 | 2020-08-13 |
| 1902415011 | Aims-az-med, LLC | Internal Medicine | 1346 E Mcdowell Rd, Phoenix, AZ 85006-2616 | 2020-07-24 |
| 1396363594 | Cabaluna Medical Pllc | Internal Medicine | 2001 Excellence Way Ste 200, Prescott, AZ 86301-8410 | 2020-07-14 |
| 1285252510 | Sun City Internal Medicine Pllc | Internal Medicine | 10503 W Thunderbird Blvd Ste 108, Sun City, AZ 85351-3047 | 2020-07-13 |
| 1619598398 | Ur Doc, LLC | Internal Medicine | 1847 E. Southern Ave., #4, Tempe, AZ 85282-5881 | 2020-05-04 |
| 1427679406 | Mario Jaramillo | Internal Medicine | 2800 East Ajo Way Ste 100, Tucson, AZ 85724-5040 | 2020-05-01 |
| 1326676800 | Arizona Physicians Group | Internal Medicine | 13771 N Fountain Hills Blvd # 114-146, Fountain Hills, AZ 85268-3762 | 2020-03-30 |
| 1245865096 | Cleanslate Medical Group of Arizona Pllc | Internal Medicine | 8410 W Thomas Rd Ste 124, Phoenix, AZ 85037-3373 | 2020-03-11 |
| 1821633926 | Arunmozhi Dominic | Internal Medicine | 899 N Wilmot Rd # Az, Tucson, AZ 85711-1714 | 2019-11-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DAVID A. 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.