STEPHEN DANIEL JACKSON (NPI# 1548428964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548428964 |
| Entity Type | Individual |
| Full Name | STEPHEN DANIEL JACKSON |
| Credential | MD |
| Practice Address |
1091 Kirkpatrick Road Burlington NC 27215-9714 |
| Mailing Address |
1091 Kirkpatrick Rd Burlington NC 27215-9714 |
| Practice Telephone | 3364942073 |
| Practice Fax Number | 3365381895 |
| Mailing Telephone | 3364942073 |
| Mailing Fax Number | 3365381895 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2012-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 2012-00952 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | VA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275926503 | Stephen Jackson | Spec/Tech, Cardiovascular | 2577 Sawgrass Lake Ct, Cape Coral, FL 33909-2935 | 2015-03-11 |
| 1750636288 | Stephen Michael Jackson | Dentist | 350 E 600 S Ste 1, St George, UT 84770 | 2012-07-20 |
| 1164411013 | Stephen J Jackson | Emergency Medicine | 4716 S 14th St, Abilene, TX 79605-4733 | 2005-10-13 |
| 1285102582 | Stephen Lee Jackson | Marriage & Family Therapist | 5409 Maryland Way Ste 305, Brentwood, TN 37027-1035 | 2018-11-05 |
| 1225531296 | Stephen A Jackson | Social Worker | 2501 N 3rd St, Harrisburg, PA 17110-2098 | 2018-03-15 |
| 1659733491 | Stephen Jackson | Emergency Medicine | 1170 Cleveland Ave, East Point, GA 30344-3615 | 2016-03-22 |
| 1275918401 | Stephen Jackson | Physical Therapist | 36501 Mission St, Suite A, Prairieville, LA 70769-3289 | 2015-07-29 |
| 1295097590 | Stephen Jackson | Counselor | 165 Roanoke Rd, El Cajon, CA 92020-4015 | 2012-06-12 |
| 1417087107 | Stephen Charles Jackson | Chiropractor | 122 N 2nd St, Millville, NJ 08332-6512 | 2007-03-06 |
| 1851428627 | Stephen Paul Jackson | Dentist | 8200 E Belleview Ave, Suite 445e, Greenwood Village, CO 80111-2803 | 2007-02-27 |
| Street Address |
1091 KIRKPATRICK ROAD |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215-9714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821382482 | Jacqueline Marie Carpenter | Obstetrics & Gynecology | 6105 1st Financial Dr, Burlington, KY 41005-7892 | 2011-06-01 |
| 1871786673 | Grace Womens Clinic Pa | Obstetrics & Gynecology | 2280 S Church St Ste 201, Suite 201, Burlington, NC 27215-5397 | 2007-08-24 |
| 1871672923 | Susan M Hagnell | Obstetrics & Gynecology | 248 Mchenry Street, Burlington, WI 53105 | 2006-11-02 |
| 1598861791 | Robert Siefring | Obstetrics & Gynecology | 1900 Burlington Mount Holly Rd Ste D, Burlington Professional Campus (rte 541), Burlington, NJ 08016-4722 | 2006-09-15 |
| 1518926245 | Peter J Rotolo | Obstetrics & Gynecology | 101 Cambridge Street, Burlington, MA 01803 | 2006-03-21 |
| 1073510665 | Philip John Rosenow | Obstetrics & Gynecology | 1091 Kirkpatrick Rd, Burlington, NC 27215-9714 | 2005-06-28 |
| 1942826995 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 286 16th St, Burlington, CO 80807-1651 | 2020-06-24 |
| 1013450840 | Jessica Ryniec | Obstetrics & Gynecology | 111 Colchester Ave, Uvm Medical Center- Obstetrics and Gynecology, Burlington, VT 05401 | 2016-11-28 |
| 1033666441 | Ankita Kulkarni | Obstetrics & Gynecology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2016-09-01 |
| 1942753033 | David John Coggin-carr | Obstetrics & Gynecology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2016-07-26 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
Please comment or provide details below to improve the information on STEPHEN DANIEL 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.