MRS. KATHLEEN ANNE JACKSON


Address: 147 S 52nd Pl, Springfield, OR 97478-6210
Phone: 5417461166

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine MD17495 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 033147 05

Other Providers KATHLEEN JACKSON

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

Office Location

Street Address 147 S 52ND PL
City SPRINGFIELD
State OR
Zip Code 97478-6210

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City SPRINGFIELD
Zip Code 97478

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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