ALAN F JACKS, MD PA (NPI# 1669471777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669471777 |
| Entity Type | Organization |
| Organization Name | ALAN F JACKS, MD PA |
| Practice Address |
845 Malcolm Blvd Rutherford College NC 28671-0476 |
| Mailing Address |
Po Box 476 Rutherford College NC 28671-0476 |
| Practice Telephone | 8288740555 |
| Practice Fax Number | 8288742111 |
| Mailing Telephone | 8288740555 |
| Mailing Fax Number | 8288742111 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2011-09-08 |
| Authorized Official Name | MR. ALAN F. JACKS (PRESIDENT) |
| Authorized Official Telephone | 8288740555 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 96-01640 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC LICENSE | 96-01640 | 01 |
| NC | BCBS | 1013E | 01 |
| NC | 5909135 | 05 | |
| NC | 891013E | 05 |
| Street Address |
845 MALCOLM BLVD |
| City | RUTHERFORD COLLEGE |
| State | NC |
| Zip Code | 28671-0476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740558949 | Blue Ridge Healthcare Medical Group, Inc. | Surgery | 845 Malcolm Blvd, Rutherford College, NC 28671-0476 | 2011-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432160 | Emily Bordeleau Cannon | Nutritionist | 721-d Malcom Blvd, Rutherford College, NC 28671 | 2020-09-16 |
| 1730557091 | Kelly Hartman | Pharmacist | 722 Malcolm Blvd, Rutherford College, NC 28671 | 2015-09-03 |
| 1053720730 | Micah Loren Wilson | Nurse Practitioner | 111 Hilltop Street, Rutherford College, NC 28671 | 2014-08-07 |
| 1336479252 | Kristy Perry Guillen | Pharmacist | 722 Malcolm Boulevard, Rutherford College, NC 28671 | 2009-12-29 |
| 1104060433 | Carolina Orthopaedic Specialist. Pa | Durable Medical Equipment & Medical Supplies | 841 Malcolm Blvd, Rutherford College, NC 28671 | 2009-04-30 |
| 1073646865 | Morganton Eye Physicians, P.a. | Optometrist | 831 Malcolm Blvd, Rutherford College, NC 28671 | 2007-03-13 |
| 1265591317 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 301 Us 70, Rutherford College, NC 28671 | 2006-12-06 |
| 1780772715 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 730 Malcolm Blvd., Suite 230, Rutherford College, NC 28671 | 2006-10-11 |
| 1205847423 | Women's Health Care,p.a. | Obstetrics & Gynecology | 721 D Malcolm Blvd., Rutherford College, NC 28671 | 2006-08-11 |
| 1174534648 | Morganton Eye Physicians, P.a. | Eyewear Supplier (Equipment, not the service) | 831 Malcolm Boulevard, Optical Department, Rutherford College, NC 28671 | 2006-08-10 |
| Find all providers in zip 28671 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740558949 | Blue Ridge Healthcare Medical Group, Inc. | Surgery | 845 Malcolm Blvd, Rutherford College, NC 28671-0476 | 2011-12-02 |
| 1154571081 | Blue Ridge Healthcare Medical Group, Inc. | Surgery | 560 Malcolm Blvd, Rutherford College, NC 28671-0000 | 2008-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723531 | Novant Medical Group, Inc. | Surgery | 1450 Matthews Township Pkwy Ste 320, Matthews, NC 28105-2389 | 2020-09-02 |
| 1639701980 | Orthopaedic Surgery Center of Panther Creek LLC | Surgery | 6715 Mccrimmon Pkwy Ste 100, Cary, NC 27519-1916 | 2020-02-05 |
| 1922645571 | Novant Medical Group, Inc. | Surgery | 6324 Fairview Rd Ste 420, Charlotte, NC 28210-3372 | 2019-12-03 |
| 1790335180 | Shihao Lao | Surgery | 2301 Erwin Rd # Dumc2837, Durham, NC 27705-4699 | 2019-09-17 |
| 1336795137 | Novant Medical Group, Inc. | Surgery | 3515 W Market St Ste 310, Greensboro, NC 27403-4438 | 2019-08-16 |
| 1548721046 | Aman Kumar | Surgery | Unc Hospitals Department of Surgery, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-03-27 |
| 1164980546 | Moses Cone Physician Services, Inc. | Surgery | 1041 Kirkpatrick Rd Ste 150, Burlington, NC 27215-8068 | 2019-03-05 |
| 1154806271 | The Cosmetic Concierge, Pllc | Surgery | 325 Arlington Ave Unit B, Charlotte, NC 28203-4574 | 2018-09-25 |
| 1386128601 | Venkateswara Rao Gurram | Surgery | 5075 Winster Dr Apt 202, Winston Salem, NC 27106-2988 | 2018-09-21 |
| 1376022533 | Shawn Thomas Colwell | Surgery | 411 Dogwood Ln, Wilmington, NC 28409-5805 | 2018-08-08 |
| Find all providers with the same taxonomy | ||||
| City | RUTHERFORD COLLEGE |
| Zip Code | 28671 |
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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.