DR. COREY ALAN JACKSON (NPI# 1669693032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669693032 |
| Entity Type | Individual |
| Full Name | DR. COREY ALAN JACKSON |
| Credential | D.O. |
| Practice Address |
3373 Commerce Pkwy Ste 2 Wooster OH 44691-7130 |
| Mailing Address |
3373 Commerce Parkway Suite 2 Wooster OH 44691-7130 |
| Practice Telephone | 3308049712 |
| Practice Fax Number | 3308049811 |
| Mailing Telephone | 3308049712 |
| Mailing Fax Number | 3308049811 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2017-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 34.008580 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972873321 | Corey N Jackson | Contractor | 130 Mankin Pl, La Vergne, TN 37086-3048 | 2012-01-03 |
| 1659419075 | Corey Lamont Jackson Sr. | Chiropractor | 1518 S Poplar St, Pine Bluff, AR 71601-6249 | 2007-02-01 |
| 1215395637 | Corey Jackson | Health Educator | 100 Chambers St, Cumberland, RI 02864-7724 | 2016-01-30 |
| 1427432343 | Corey Jerrod Jackson | Registered Nurse | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2015-07-10 |
| 1154735611 | Corey Jackson | Physical Therapist | 1551 N Rock Rd, Wichita, KS 67206-1255 | 2014-06-12 |
| 1558672881 | Corey E Jackson | Physical Therapist | 917 Beville Rd, Suite G, South Daytona, FL 32119-1712 | 2010-07-01 |
| 1194866707 | Corey Jai Jackson | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2007-02-08 |
| Street Address |
3373 COMMERCE PKWY STE 2 |
| City | WOOSTER |
| State | OH |
| Zip Code | 44691-7130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255329579 | Sandra E Smith | Specialist/Technologist | 3373 Commerce Pkwy Ste 2, Wooster, OH 44691-7130 | 2005-10-11 |
| 1124413927 | Timothy John Miller | Podiatrist | 3373 Commerce Pkwy Ste 2, Wooster, OH 44691-7130 | 2015-03-30 |
| 1053724831 | Christine Elizabeth Long | Physical Therapist | 3373 Commerce Pkwy Ste 2, Wooster, OH 44691-7130 | 2014-06-09 |
| 1861831075 | Ashley Mychak | Podiatrist | 3373 Commerce Pkwy Ste 2, Wooster, OH 44691-7130 | 2013-06-20 |
| 1043524424 | Jeffrey L. Watts | Orthopaedic Surgery | 3373 Commerce Pkwy Ste 2, Wooster, OH 44691-7130 | 2010-07-28 |
| 1487879359 | David C Poeppelmeier Jr. | Physical Therapist | 3373 Commerce Pkwy Ste 2, Wooster, OH 44691-7130 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296426 | Teddi Lynn Beun | Home Health Aide | 337 West North Street, Suite 1, Wooster, OH 44691 | 2019-07-08 |
| 1285102418 | Samantha M Rodman | Case Manager/Care Coordinator | 2858 Back Orrville Road, Wooster, OH 44691 | 2018-11-06 |
| 1205347028 | Progressive Wooster LLC | Skilled Nursing Facility | 1700 E Smithville Wester Rd, Wooster, OH 44691 | 2017-10-19 |
| 1619357563 | Michelle L Morton | Counselor | 439 N Market St Ste B, Wooster, OH 44691 | 2015-06-05 |
| 1003295502 | Walter Blair Geho | Internal Medicine | 533 Beechwood Street, Wooster, OH 44691 | 2015-05-29 |
| 1578960589 | Beth Gaubatz | Psychologist | 375 South Smyser Road, Wooster, OH 44691 | 2014-11-20 |
| 1184039729 | Diane Woodruff | Licensed Practical Nurse | 1605 Lemar Dr, Wooster, OH 44691 | 2014-06-23 |
| 1003257312 | Stacy Marie Scheibert | Licensed Practical Nurse | 639 Robinson Road, Wooster, OH 44691 | 2013-07-15 |
| 1487905972 | Judy Kropf | Counselor | 104 Spink Street, Wooster, OH 44691 | 2012-09-25 |
| 1295080752 | Brittany J Mowrer | Home Health Aide | 3570 W Smithville Western Rd, Wooster, OH 44691 | 2012-07-19 |
| Find all providers in zip 44691 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410892 | William J Skelly | Orthopaedic Surgery | 3727 Friendsville Rd, Suite 2, Wooster, OH 44691-7127 | 2005-07-14 |
| 1043524424 | Jeffrey L. Watts | Orthopaedic Surgery | 3373 Commerce Pkwy Ste 2, Wooster, OH 44691-7130 | 2010-07-28 |
| 1922339308 | Anne Marie Chicorelli | Orthopaedic Surgery | 3727 Friendsville Rd, Suite 5, Wooster, OH 44691-7131 | 2010-01-25 |
| 1598991259 | Michael Paul Suszter | Orthopaedic Surgery | 3373 Commerce Pkwy, Suite 2, Wooster, OH 44691-7130 | 2009-06-08 |
| 1134329667 | Bradley Arthur Pierce | Orthopaedic Surgery | 721 E Milltown Rd, Wooster, OH 44691-1255 | 2007-07-23 |
| 1013915842 | Owen W Logee | Orthopaedic Surgery | 3727 Friendsville Rd, Suite 2, Wooster, OH 44691-7127 | 2005-07-14 |
| 1003814831 | James W Gesler | Orthopaedic Surgery | 3373 Commerce Pkwy, Suite 2, Wooster, OH 44691-7130 | 2005-07-14 |
| 1821097650 | Michael S Knapic | Orthopaedic Surgery | 3373 Commerce Pkwy, Suite 2, Wooster, OH 44691-7130 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966327 | Crystal Clinic, Inc. | Orthopaedic Surgery | 2383 S Main St Ste D106, Coventry Township, OH 44319-1190 | 2020-09-09 |
| 1306468418 | Mercy Health Physicians North Specialty Care LLC | Orthopaedic Surgery | 2200 Jefferson Ave Fl 4, Toledo, OH 43604-7102 | 2020-05-12 |
| 1841756632 | Ortholive Medical Group | Orthopaedic Surgery | 1311 Vine St, Cincinnati, OH 45202-7118 | 2019-02-16 |
| 1487134581 | Orthopedic One, Inc. | Orthopaedic Surgery | 5500 N. Meadows Drive, Grove City, OH 43123 | 2018-08-17 |
| 1659851921 | Orthopaedic Associates, Inc | Orthopaedic Surgery | 32800 Lorain Rd # 1100, N Ridgeville, OH 44039-3430 | 2018-08-16 |
| 1841788593 | Yirka Vacca | Orthopaedic Surgery | Cleveland Clinic 9500 Euclid Avenue A-40, Cleveland, OH 44195 | 2018-04-27 |
| 1609387984 | Orthopedic Associates of S W Ohio Inc | Orthopaedic Surgery | 3535 Pentagon Blvd Ste 300, Beavercreek, OH 45431-1705 | 2017-10-13 |
| 1689183683 | Orthopedic Associates of S W Ohio, Inc. | Orthopaedic Surgery | 7117 Dutchland Pkwy, Liberty Township, OH 45044-9096 | 2017-09-22 |
| 1760914451 | Morad Chughtai | Orthopaedic Surgery | 10001 Chester Ave, Apt 520, Cleveland, OH 44106-1617 | 2017-03-31 |
| 1306382262 | Zanesville Xpress Ortho Care, LLC | Orthopaedic Surgery | 3089 Maple Ave, Zanesville, OH 43701-1408 | 2017-01-16 |
| Find all providers with the same taxonomy | ||||
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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.