MRS. KATHLEEN ANNE JACKSON (NPI# 1548236029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548236029 |
Entity Type | Individual |
Full Name | MRS. KATHLEEN ANNE JACKSON |
Credential | M.D. |
Practice Address |
147 S 52nd Pl Springfield OR 97478-6210 |
Practice Telephone | 5417461166 |
Practice Fax Number | 5417466736 |
Mailing Telephone | 5417461166 |
Mailing Fax Number | 5417466736 |
Enumeration Date | 2006-02-24 |
Last Update Date | 2016-12-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | MD17495 | OR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 033147 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427699685 | Kathleen Jackson | Technician | 3788 Jackson Community Rd, Vernon, FL 32462-3440 | 2019-09-30 |
1508015421 | Kathleen Jackson | Licensed Practical Nurse | 188 Lovering Ave, Buffalo, NY 14216-1814 | 2008-09-16 |
1629264759 | Kathleen Lux Jackson | Registered Nurse | 2894 Komaia Pl, Honolulu, HI 96822-1745 | 2007-09-21 |
1508964347 | Kathleen Jackson | Registered Nurse | 7702 W Thurston Ave, Milwaukee, WI 53218 | 2006-09-20 |
1073619037 | Kathleen J. Jackson | Nurse Practitioner | 1001 F Lincoln Drive, West, Cooper Familyl Medicine PC, Marlton, NJ 08053-1915 | 2006-09-16 |
1538720305 | Kathleen Celeste Jackson | Pharmacist | 181 Taylor Ave, Columbus, OH 43203-1779 | 2019-06-24 |
1801323993 | Kathleen Marie Jackson | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2017-05-19 |
1356893689 | Kathleen Anne Jackson | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2016-11-03 |
1720496326 | Kathleen Grace Jackson | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2014-07-27 |
1699108209 | Kathleen Adele Jackson | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2013-08-19 |
Street Address |
147 S 52ND PL |
City | SPRINGFIELD |
State | OR |
Zip Code | 97478-6210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700390721 | Mallory Gail Crownover | Nurse Practitioner | 147 S 52nd Pl, Springfield, OR 97478-6210 | 2017-11-29 |
1932630365 | Praxis Medical Group Inc | Internal Medicine | 147 S 52nd Pl, Springfield, OR 97478-6210 | 2017-03-27 |
1265852586 | Cary Randall Bybee | Emergency Medicine | 147 S 52nd Pl, Springfield, OR 97478-6210 | 2014-04-25 |
1902156110 | Allyson Paige Swann | Physician Assistant | 147 S 52nd Pl, Springfield, OR 97478-6210 | 2012-09-14 |
1386696995 | Steven Joseph Butdorf | Family Medicine | 147 S 52nd Pl, Springfield, OR 97478-6210 | 2006-05-16 |
1396797916 | Michelle Lynn Kaplan | Family Medicine | 147 S 52nd Pl, Springfield, OR 97478-6210 | 2006-05-16 |
1437109154 | Stephan Anthony Ames | Family Medicine | 147 S 52nd Pl, Springfield, OR 97478-6210 | 2006-05-11 |
1285684001 | Eric L Geisler | Family Medicine | 147 S 52nd Pl, Springfield, OR 97478-6210 | 2006-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588225155 | Mckenzie Dental Center | Dentist | 110 S. 59th St, Springfield, OR 97478 | 2019-06-25 |
1831691310 | Michael Ryan Odle | Psychologist | 36716 Oak Point Rd, Springfield, OR 97478 | 2018-03-01 |
1639612880 | Icco LLC | Clinic/Center | 5781 Main Street, Springfield, OR 97478 | 2016-11-21 |
1639529258 | Nate John Sutherland | Behavioral Analyst | 37770 Upper Creek Road, Springfield, OR 97478 | 2016-06-14 |
1457760134 | Leah Rybolt | Physical Therapist | 145 South 52nd Place, Springfield, OR 97478 | 2014-08-07 |
1972918423 | Loree Lynn Howard | Case Manager/Care Coordinator | 4145 Jasper Road, Springfield, OR 97478 | 2014-06-24 |
1245589753 | Sarah M Boothe | Doula | 870 S 46th St, Springfield, OR 97478 | 2012-08-30 |
1902155401 | Dani Maree Hill | Pharmacist | 5744 Main Street, Springfield, OR 97478 | 2012-08-30 |
1295005312 | Express Services Unlimited, Inc. | Non-emergency Medical Transport (VAN) | 37506 Hills Creek Road, Springfield, OR 97478 | 2012-01-05 |
1255524468 | Leeann D Fields | Licensed Practical Nurse | 3318 Lakeview Dr, Eugene, OR 97478 | 2007-08-21 |
Find all providers in zip 97478 |
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 |
---|---|---|---|---|
1639675077 | Anand Kanjolia, M.d. LLC | Internal Medicine | 222 Carew St Fl 4, Springfield, MA 01104-4109 | 2018-04-04 |
1376068817 | Personal Primary Care and Weight Management, LLC | Internal Medicine | 299 Carew St Ste 234, Springfield, MA 01104-2368 | 2017-08-05 |
1184145682 | Basma Al-bast | Internal Medicine | 701 N 1st St Ste 434, Springfield, IL 62702-3757 | 2017-07-05 |
1689124604 | John Duff | Internal Medicine | 2909 S Camber Ave, Springfield, MO 65809-3547 | 2016-10-13 |
1669834941 | Siddhi Joshi | Internal Medicine | 5501 Backlick Rd Ste 105, Springfield, VA 22151-3940 | 2016-03-24 |
1265898936 | Mohammad Rahimuddin | Internal Medicine | 2556 Snyder Domer Rd, Springfield, OH 45502-8161 | 2016-01-11 |
1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
1033589304 | Hshs Medical Group Inc | Internal Medicine | 3215 Executive Park Dr, Springfield, IL 62703-4514 | 2015-09-30 |
1679992895 | Ahlam Elbadri | Internal Medicine | 2115 S Fremont Ave Ste 2300, Springfield, MO 65804-2233 | 2014-04-15 |
1528487543 | Barbara Vinci | Internal Medicine | 2443 Troy Rd, Springfield, OH 45504-4233 | 2014-04-08 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 97478 |
Please comment or provide details below to improve the information on MRS. KATHLEEN ANNE 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.