DR. DONALD JACKSON JR.


Address: 2500 E Grand Blvd, Medical Dept, Detroit, MI 48211-2006
Phone: 3139726202

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083X0100X Preventive Medicine
Specialization: Occupational Medicine
43010441496 MI Allopathic & Osteopathic Physicians

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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

Office Location

Street Address 2500 E GRAND BLVD
MEDICAL DEPT
City DETROIT
State MI
Zip Code 48211-2006

Providers in the same zip code

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 Information

Taxonomy Code 2083X0100X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Occupational Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City DETROIT
Zip Code 48211

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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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