EUGENE F JACKSON (NPI# 1548345325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548345325 |
| Entity Type | Individual |
| Full Name | EUGENE F JACKSON |
| Practice Address |
125 Executive Dr Suite A Danville VA 24541-4155 |
| Practice Telephone | 4347934711 |
| Practice Fax Number | 4347972514 |
| Mailing Telephone | 4347934711 |
| Mailing Fax Number | 4347972514 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2013-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110840446 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538165386 | Eugene Hooks Jackson | Family Medicine | 118 Norman Dorminy Dr, Fitzgerald, GA 31750-8858 | 2005-06-27 |
| Street Address |
125 EXECUTIVE DR SUITE A |
| City | DANVILLE |
| State | VA |
| Zip Code | 24541-4155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919398 | Timothy Wayne Brotherton | Internal Medicine | 125 Executive Dr, Ste J, Danville, VA 24541-4155 | 2005-06-01 |
| 1568722866 | Ann Marie Thomas Knight | Nurse Practitioner | 125 Executive Dr, Suite H, Danville, VA 24541-4155 | 2012-05-21 |
| 1881990505 | Akintunde Rasaq Akinleye | Internal Medicine | 125 Executive Dr, Suite J, Danville, VA 24541-4155 | 2011-01-27 |
| 1952629107 | Harman Eye Center of Danville LLC | Ophthalmology | 125 Executive Dr, Ste E, Danville, VA 24541-4155 | 2010-05-12 |
| 1376731786 | Danville Cardiology Center Inc | Internal Medicine | 125 Executive Dr, Suite K, Danville, VA 24541-4155 | 2007-10-10 |
| 1407078595 | Timothy D Torborg | Specialist/Technologist | 125 Executive Dr, Suite B, Danville, VA 24541-4155 | 2007-05-02 |
| 1376762047 | Joseph Fenton Faust | Ophthalmology | 125 Executive Dr, Ste E, Danville, VA 24541-4155 | 2007-04-24 |
| 1043399157 | Piedmont Regional Eye Center | Eyewear Supplier (Equipment, not the service) | 125 Executive Dr, Ste E, Danville, VA 24541-4155 | 2006-11-02 |
| 1649355595 | Danville Diagnostic Imaging Center LLC | Clinic/Center | 125 Executive Dr, Ste. D, Danville, VA 24541-4155 | 2006-10-26 |
| 1720192438 | Christopher Belk | Radiology | 125 Executive Dr, Suite L, Danville, VA 24541-4155 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303551 | Damon Lee Simpson | Occupational Therapy Assistant | 1616 Maple Dr, Danville, VA 24541 | 2018-07-27 |
| 1578065041 | Strategic Therapy Associates, Inc. | Transportation Broker | 1225 W Main Street, Danville, VA 24541 | 2018-03-01 |
| 1790291078 | Vicente T Falgui Md PC | Internal Medicine | 990 Main Street, Suite 204, Danville, VT 24541 | 2017-12-21 |
| 1558884270 | Focus Point Mental Health, LLC | Community/Behavioral Health | 116 Magnolia Drive, Danville, VA 24541 | 2017-07-25 |
| 1073045522 | Brittney Paige Throckmorton-samples | Physical Therapist | 174 Executive Drive, Danville, VA 24541 | 2017-04-03 |
| 1114378106 | Laurie Rich Taylor | Nurse Practitioner | 541 Bridge Street, Suite 1, Danville, VA 24541 | 2016-06-30 |
| 1285085779 | Larry Keller | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541 | 2016-06-25 |
| 1952617474 | Joshua Home Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 223 Randolph Street, Danville, VA 24541 | 2010-08-21 |
| 1922274661 | Blankenship & Davis Opticians Inc | Eyewear Supplier (Equipment, not the service) | 625 West Main Street, Danville, VA 24541 | 2008-05-02 |
| 1750588307 | Tiffany Devon Clark | Physical Therapy Assistant | 432 Hermitage Dr., Danville, VA 24541 | 2007-06-28 |
| Find all providers in zip 24541 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747959 | Michelle Turner | Physician Assistant | 1095 N County Road 300 E, Danville, IN 46122-8651 | 2020-07-08 |
| 1427681535 | Ann Humphrey | Physician Assistant | 30 Windward Dr, Danville, CA 94526-2341 | 2020-02-17 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1164086948 | Matthew Hartman | Physician Assistant | 215 Kaitlyn Ln, Danville, CA 94506-4717 | 2019-04-26 |
| 1902370844 | Lindsay Simmons | Physician Assistant | 167 Maddox Rd, Danville, AL 35619-6535 | 2019-01-14 |
| 1174007165 | Caroline Federighi | Physician Assistant | 1320 El Capitan Dr Ste 200, Danville, CA 94526-6260 | 2018-09-17 |
| 1487136446 | Mayura Raghavan | Physician Assistant | 221 Marigold St, Danville, CA 94506-4760 | 2018-09-05 |
| 1780180406 | Megan Marie Allison | Physician Assistant | 100 Hospital Ln Ste 105, Danville, IN 46122 | 2018-04-02 |
| 1255745709 | Nichole Louise Drilling | Physician Assistant | 1000 E. Main St., Danville, IN 46122 | 2014-06-12 |
| 1154762748 | Justin B Cecil | Physician Assistant | 236 W Main St Ste 202, Danville, KY 40422-1876 | 2013-07-11 |
| Find all providers in DANVILLE | ||||
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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.