DR. BENJAMIN POPP JACKSON (NPI# 1629502562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629502562 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN POPP JACKSON |
| Credential | M.D. |
| Practice Address |
1 Medical Center Dr Rm 204 Morgantown WV 26506-1200 |
| Mailing Address |
930 Chestnut Ridge Rd Morgantown WV 26505-2854 |
| Practice Telephone | 3045986900 |
| Practice Fax Number | 3042857373 |
| Mailing Telephone | 3042935323 |
| Mailing Fax Number | 3042938724 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2020-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255769287 | Benjamin Jackson | Counselor | 330 W 28th St, 4j, New York, NY 10001-4722 | 2013-10-30 |
| 1972830313 | Benjamin Caleb Jackson | Chiropractor | 522 College Dr, Torrington, WY 82240-1517 | 2009-11-05 |
| 1639675044 | Benjamin Jackson | Student in an Organized Health Care Education/Training Program | 730 Oakridge Blvd, Lumberton, NC 28358-2324 | 2018-04-04 |
| 1275081929 | Benjamin Jackson | Counselor | 127 N Beacon St, Watertown, MA 02472-2712 | 2016-09-12 |
| 1134504756 | Benjamin Jackson | Pharmacist | 1309 S Mission St, Mt Pleasant, MI 48858-4207 | 2015-07-24 |
| 1528347754 | Benjamin T Jackson | Hearing Instrument Specialist | 1600 Coulter, Bldg. A #105, Amarillo, TX 79106 | 2011-08-05 |
| 1164588448 | Benjamin Materi Jackson | Surgery | 3400 Spruce Street, 4 Silverstein Building, Philadelphia, PA 19104-4206 | 2006-12-29 |
| 1982715207 | Benjamin K Jackson | Pediatrics | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2006-08-31 |
| 1568413094 | Benjamin F Jackson | Emergency Medicine | 171 Ashley Ave, Charleston, SC 29425-8908 | 2006-05-12 |
| Street Address |
1 MEDICAL CENTER DR RM 204 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598296642 | Alyson Margaret Leo | Family Medicine | 1 Medical Center Dr Rm 204, Morgantown, WV 26506-1200 | 2017-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358149 | Jamara Washington | Student in an Organized Health Care Education/Training Program | 5000 Domain Dr Apt 715, Morgantown, WV 26501-2528 | 2020-08-30 |
| 1275146540 | Virginia Fay Honaker | Student in an Organized Health Care Education/Training Program | 5000 Station St Apt 1012, Morgantown, WV 26508-7442 | 2020-08-26 |
| 1487282554 | Michael Joseph Dugan IIi | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr Rm 1200, Morgantown, WV 26505-3409 | 2020-04-01 |
| 1295363646 | Catherine Maxine Powers | Student in an Organized Health Care Education/Training Program | 385 Dorsey Ave, Morgantown, WV 26501-6460 | 2020-03-31 |
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1679100127 | Joshua James Hurley | Student in an Organized Health Care Education/Training Program | 17 Van Gilder St, Morgantown, WV 26505-1760 | 2020-03-25 |
| 1629605399 | Rehab Othman Mohamed | Student in an Organized Health Care Education/Training Program | 206 Carmell Ct, Morgantown, WV 26505-7801 | 2020-03-24 |
| 1427684471 | Ameneh Zare Shahabadi | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Fl 5, Morgantown, WV 26506-1200 | 2020-03-20 |
| 1831725985 | Ion Prisneac | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr Rm 4601, Morgantown, WV 26505-3409 | 2020-03-20 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26506 |
Please comment or provide details below to improve the information on DR. BENJAMIN POPP 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.