DR. DONALD JACKSON JR. (NPI# 1700200086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700200086 |
Entity Type | Individual |
Full Name | DR. DONALD JACKSON JR. |
Credential | MD |
Practice Address |
2500 E Grand Blvd Medical Dept Detroit MI 48211-2006 |
Practice Telephone | 3139726202 |
Practice Fax Number | 3139726094 |
Mailing Telephone | 3139726202 |
Mailing Fax Number | 3139726094 |
Enumeration Date | 2014-02-07 |
Last Update Date | 2014-02-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
43010441496 | MI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942577200 | Donald Jefferson Jackson | Social Worker | 434 Atkinson St, Laurinburg, NC 28352-3714 | 2011-11-30 |
1366684839 | Donald Wayne Jackson | Case Manager/Care Coordinator | 3434 Mount Burnside Way, Woodbridge, VA 22192-1013 | 2009-03-30 |
1760500649 | Donald William Jackson | Dentist | 1909 A Mission 66, Vicksburg, MS 39180-3711 | 2007-03-27 |
1588722466 | Donald A Jackson | Psychologist | Nced Ms 285, University of Nevada, Reno, Reno, NV 89557-1285 | 2006-12-05 |
1215310115 | Donald Lee Jackson Jr. | Counselor | 1030 Village Dr Ste B, Watkinsville, GA 30677-6004 | 2015-07-09 |
1811185721 | Donald John Jackson | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2007-10-05 |
1588876965 | Donald Murphy Jackson | Dentist | 712 S Main St, North East, MD 21901-4126 | 2007-05-05 |
1609997584 | Donald L Jackson | Counselor | 1012 14th St Nw, Suite 1000, Washington, DC 20005-3403 | 2007-04-02 |
1407947039 | Donald J. Jackson | Physician Assistant | 185 Grafton Rd., Townshend, VT 05353 | 2006-09-27 |
1740238153 | Donald E Jackson Jr. | Radiology | 6716 Nw 11th Place, Ste 200, Gainesville, FL 32605-4215 | 2006-05-05 |
Street Address |
2500 E GRAND BLVD MEDICAL DEPT |
City | DETROIT |
State | MI |
Zip Code | 48211-2006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528572930 | Tabatha Green | Licensed Practical Nurse | 1221 East Brand Blvd, Detroit, MI 48211 | 2017-11-21 |
1760714406 | Nathan Terey | Counselor | 5470 Chene Ave, Detroit, MI 48211 | 2010-02-05 |
1174735286 | Staci Hirsch | Psychologist | 5470 Chene Street, Detroit, MI 48211 | 2007-05-03 |
1497872352 | Une Sur Une Resource Services LLC | Social Worker | 8718 Oakland St, Detroit, MI 48211-1241 | 2007-03-24 |
1558524884 | Rebecca Woloszyn | Social Worker | 8718 Oakland St, Detroit, MI 48211-1241 | 2008-07-07 |
1902064405 | Venessa Jean Parks | Counselor | 8718 Oakland St, Detroit, MI 48211-1241 | 2008-05-30 |
1972790459 | Nelda Kay Lejeune | Social Worker | 8718 Oakland St, Detroit, MI 48211-1241 | 2007-09-28 |
1760718605 | Teena Marie Sawicki | Social Worker | 3501 Hamtramck Dr, Hamtramck, MI 48211-1400 | 2009-10-28 |
1659672699 | Margaret Elizabeth Hudson-collins | Psychiatry & Neurology | 3501 Hamtramck Dr, Detroit, MI 48211-1400 | 2010-11-08 |
1184932766 | John A. Lyle | Psychologist | 3501 Hamtramck Dr, Hamtramck, MI 48211-1400 | 2010-09-17 |
Find all providers in zip 48211 |
Taxonomy Code | 2083X0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Occupational Medicine |
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710229661 | Raymond Jones | Preventive Medicine | 16822 Warwick St, Detroit, MI 48219-4042 | 2013-03-19 |
1023214814 | Midwest-woodbridge Health Center,p.c. | Preventive Medicine | 600 Woodbridge St, Detroit, MI 48226-4364 | 2007-06-27 |
1336341536 | Patrick Joseph Beecher | Preventive Medicine | 300 Renaissance Drive, Ms 482-c10-092 Gmc, Detroit, MI 48265-3000 | 2007-06-01 |
1255542502 | David Perry Deeter | Preventive Medicine | Mc 482-c10-092, 300 Renaissance Dr, Detroit, MI 48265-3000 | 2007-05-25 |
1225252778 | Robert T Nolta | Preventive Medicine | 533 E Service Dr, Detroit, MI 48242-1128 | 2007-04-13 |
1295868230 | David W Hazel | Preventive Medicine | 2151 East Jefferson Ave, Detroit, MI 48207 | 2007-03-13 |
1528299468 | Joel Reed Bender | Preventive Medicine | 300 Renaissance Drive, Mc 482-c10-092, Detroit, MI 48265 | 2009-07-27 |
1669590626 | Padmaja Morisetty | Preventive Medicine | 2151 E Jefferson Ave, Detroit, MI 48207-4161 | 2007-03-27 |
1295875342 | Vinaya Vallabhaneni | Preventive Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-02-07 |
1205900719 | James C. Bruestle | Preventive Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-11-17 |
Find all providers in DETROIT |
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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.