HENRY A JACKSON


Address: 4224 Houma Blvd Ste 380, Metairie, LA 70006-2980
Phone: 5044545213

HENRY A JACKSON (NPI# 1679549836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679549836
Entity Type Individual
Full Name HENRY A JACKSON
Credential M.D.
Practice Address 4224 Houma Blvd Ste 380
Metairie
LA 70006-2980
Mailing Address 4224 Houma Blvd 380
Ej Pulmonary Medicine Ejpulm
Metairie
LA 70006-2980
Practice Telephone 5044545213
Practice Fax Number 5044568053
Mailing Telephone 5044545213
Mailing Fax Number 5044568053
Enumeration Date 2006-02-27
Last Update Date 2019-09-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
L010098 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1129054 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4320 Houma Blvd Fl 5, Metairie, LA 700062961 5044545213 5044568053

Other Providers HENRY JACKSON

NPI Name Taxonomy Address Enumeration
1871147116 Henry Jackson Dentist 55 Glenda Trce, Newnan, GA 30265-3887 2019-07-25
1699213959 Henry Lee Jackson Jr. Dentist 334 E Hanes Mill Rd, Winston Salem, NC 27105-9135 2017-02-07
1124441621 Henry Edward Jackson Kinesiotherapist 1703 Georgia Ave, Richmond, VA 23220 2014-02-04
1063667053 Henry Jackson Physical Therapist 5605 Tilden Ave, Brooklyn, NY 11203-4819 2008-11-18
1497953368 Henry Benson Jackson Social Worker 10 Peterboro Det. Central City Community Mental Health, Detroit, MI 48201-2722 2007-07-03
1871610899 Henry Clarke Jackson Jr. Specialist/Technologist 1119 Veterans Dr, Florence, AL 35630-4951 2007-03-23
1568833606 Henry Jackson Social Worker 1500 Waters Pl, Bronx, NY 10461-2723 2015-10-15
1558624866 Henry Carson Jackson Family Medicine 10497 Town and Country Way, Suite 360, Houston, TX 77024-1117 2012-06-21
1811280902 Henry Jackson Case Manager/Care Coordinator 620 S Laurel St, Pine Bluff, AR 71601-4859 2011-05-23
1285643452 Henry Jackson Internal Medicine 1 Freedom Way, Vamc-augusta-ud (26), Augusta, GA 30904-6258 2006-08-05

Office Location

Street Address 4224 HOUMA BLVD STE 380
City METAIRIE
State LA
Zip Code 70006-2980

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770873275 Sneha Samant Internal Medicine 4224 Houma Blvd Ste 380, Ej Pulm, Metairie, LA 70006-2980 2011-04-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437786365 Christina Alder Humble Behavior Technician 4201 N 1-10 Service Road W., Metairie, LA 70006 2020-03-23
1285270959 Brittanie Renee Tank Behavior Technician 4201 N 1-10 Service Rd, W, Metairie, LA 70006 2019-11-18
1447896105 Jacob Dent Dds Dentists of Metairie A Professional Corporation Dentist 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 2019-11-18
1417504861 Caryn Tesia Washington Behavior Technician 4201 N 1-10 Service Rd W., Metarie, LA 70006 2019-08-21
1568023356 Brittany Nicole Davis Behavioral Analyst 4201 N-i 10 Service Rd, Metairie, LA 70006 2019-06-24
1295393650 Beth Ann Martin Behavior Technician 4201 N. Service Road W, Metairie, LA 70006 2019-05-31
1942866561 Manunique Johnson Behavior Technician 4201 N-1-10 Service Rd W., Metairie, LA 70006 2019-05-20
1972068419 Stacey R Phipps Behavior Technician 4201 N 1-10 Service Rd. W., Metairie, LA 70006 2019-02-08
1740752799 Na'triana Clark Behavior Technician 4210 N I-10 Service Rd, Metairie, LA 70006 2018-12-31
1861969131 Lauren Hay Hughes Behavior Technician 4201 N 1-10 Service Rd. West, Metairie, LA 70006 2018-10-25
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841228624 Eugene Barry Rosenberg Internal Medicine 3609 N Arnoult Rd, Metairie, LA 70002-1562 2006-06-29
1356310650 Kenneth B Smith Internal Medicine 4200 Houma Blvd Fl 3, Metairie, LA 70006-2970 2006-03-17
1104803766 James M Mccullough Internal Medicine 4228 Houma Blvd Ste 140, Metairie, LA 70006-3019 2005-12-26
1609167501 Bayou Pulmonary LLC Internal Medicine 4224 Houma Blvd, Suite 600, Metairie, LA 70006-2933 2011-04-26
1972762144 James M. Mccullough Internal Medicine 4228 Houma Blvd, Suite 140, Metairie, LA 70006-3000 2008-06-03
1750327201 Southshore Lung Center, LLC Internal Medicine 4224 Houma Blvd, Suite 600, Metairie, LA 70006-2933 2006-06-22
1144274374 Jefferson Pulmonary Associates Internal Medicine 4200 Houma Blvd, 3rd Floor Respiratory Dept, Metairie, LA 70006-2970 2006-05-20
1356310783 Thomas Gerard Nuttli Sr. Internal Medicine 4200 Houma Blvd, Fl 3, Metairie, LA 70006-2970 2006-03-16
1669448825 Stephen M Layne Internal Medicine 4224 Houma Blvd, Suite 380, Metairie, LA 70006-2933 2006-02-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487997219 Ramsy Assaf Abdelghani Internal Medicine 1415 Tulane Ave Fl 7, New Orleans, LA 70112-2600 2013-03-29
1770823098 Emergency and Critical Care Services LLC Internal Medicine 8965 Highway 79, Greenwood, LA 71033-2721 2013-02-22
1104161843 Christus Health and Lunn Pulmonology Internal Medicine 1455 E. Bert Kouns, Suite #202, Christus Health and Lunn Pulmonology, Shreveport, LA 71105 2012-12-06
1770872616 Gbr, LLC Internal Medicine 155 Hospital Dr. Ste 101, Lafayette, LA 70503 2011-03-31
1992016133 Andrea Rudomin Conant Lorio Internal Medicine 8120 Main Street, Suite 204, Houma, LA 70360 2010-06-22
1326208232 Brian Jude Parker Internal Medicine 604 N Acadia Rd Ste 411, Thibodaux, LA 70301 2008-06-13
1841463114 David Yoshi Patten Internal Medicine 3872 S Inwood Ave, New Orleans, LA 70131 2008-04-08
1750401022 Richard C Hebert Internal Medicine 6267 Sevenoaks Ave, Baton Rouge, LA 70806-7301 2007-03-30
1982765947 Roger Edmund Stueben Internal Medicine 1107 Audubon Ave, Suite B, Thibodaux, LA 70301 2006-12-13
1962593798 Physicians of Sleep Associates LLC Internal Medicine 5246 Brittany Dr, Baton Rouge, LA 70808-9136 2006-09-27
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Competitor

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City METAIRIE
Zip Code 70006

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Dataset Information

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.

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