JACK T PEARSON (NPI# 1518901131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518901131 |
| Entity Type | Individual |
| Full Name | JACK T PEARSON |
| Credential | MD |
| Practice Address |
1602 Hatcher Lane Columbia TN 38401 |
| Practice Telephone | 9313770777 |
| Practice Fax Number | 9313881548 |
| Mailing Telephone | 9313880777 |
| Mailing Fax Number | 9313881548 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD15598 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3403473 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558362343 | Jack Alan Pearson | Internal Medicine | 3288 Bell Rd, Auburn, CA 95603-9243 | 2005-08-03 |
| 1619077674 | Jack W. Pearson | Ophthalmology | 615 S Mill St, Fergus Falls, MN 56537-2756 | 2006-09-22 |
| Street Address |
1602 HATCHER LANE |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063437598 | Gretchen M Frantz | Pathology | 1602 Hatcher Lane, Columbia, TN 38401 | 2006-07-13 |
| 1518903632 | Charles B Bramlett Jr. | Pathology | 1602 Hatcher Lane, Columbia, TN 38401 | 2006-06-20 |
| 1922044981 | Harold W Ferrell | Pathology | 1602 Hatcher Lane, Columbia, TN 38401 | 2006-06-20 |
| 1831135896 | Danielle Gibson | Pathology | 1602 Hatcher Lane, Columbia, TN 38401 | 2006-06-20 |
| 1841236965 | Albert C Domm | Pathology | 1602 Hatcher Lane, Columbia, TN 38401 | 2006-06-20 |
| 1497791420 | Pca of Columbia, Inc. | Pathology | 1602 Hatcher Lane, Columbia, TN 38401 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346732781 | Christopher Ryan Cunningham | Pathology | 1 Hospital Dr Dept Of, Columbia, MO 65212-1000 | 2018-06-01 |
| 1730679986 | Tao Zhang | Pathology | 1 Hospital Dr Bldg, Columbia, MO 65212-1000 | 2018-05-14 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1780061986 | Robert Jones | Pathology | 901 Rangeline St, Columbia, MO 65201-4562 | 2015-04-27 |
| 1407233604 | Jason Edward Denney | Pathology | 3601 W Broadway Apt 11-301, Columbia, MO 65203-0128 | 2015-04-27 |
| 1750647988 | Feriyl Bhaijee | Pathology | 10208 Hickory Ridge Rd, Apt. 104, Columbia, MD 21044-4686 | 2012-04-02 |
| 1932351764 | Kent J Newsom | Pathology | 1 Science Ct Ste 200, Professional Pathology Services, Columbia, SC 29203-9653 | 2008-10-10 |
| 1407967953 | John Logan Ward | Pathology | 30 Quinine Hl, Columbia, SC 29204-3414 | 2006-08-31 |
| 1790892594 | Joseph Elliott Benson Jr. | Pathology | 1107 Sequoya Trl, Columbia, TN 38401-8468 | 2006-08-25 |
| 1477585909 | Anita Godra | Pathology | 10320 Swift Stream Pl, #405, Columbia, MD 21044-4871 | 2006-07-07 |
| Find all providers in COLUMBIA | ||||
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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.