DR. ANTHONY L JACKSON III


Address: 2575 E Bidwell St Ste 160, Folsom, CA 95630-6446
Phone: 9168651400

DR. ANTHONY L JACKSON III (NPI# 1720024847) 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) 1720024847
Entity Type Individual
Full Name DR. ANTHONY L JACKSON III
Credential MD
Practice Address 2575 E Bidwell St Ste 160
Folsom
CA 95630-6446
Mailing Address Po Box 255228
Sacramento
CA 95865-5228
Practice Telephone 9168651400
Enumeration Date 2006-06-20
Last Update Date 2020-11-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine G43207 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G432070 05

Other Providers ANTHONY JACKSON

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1346254596 Anthony D Jackson Dentist 512 E Alexander St, Plant City, FL 33563-7165 2006-07-27
1568077535 Anthony Jackson Chore Provider 332 S Decatur Blvd, Las Vegas, NV 89107-2804 2020-09-15
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1063076925 Anthony Earle Jackson Student in an Organized Health Care Education/Training Program 3901 Rainbow Blvd, Kansas City, KS 66160-8500 2019-04-26
1023595097 Anthony Jackson Non-emergency Medical Transport (VAN) 1224 Stokley Pl, Baton Rouge, LA 70815-7030 2018-07-23

Office Location

Street Address 2575 E BIDWELL ST STE 160
City FOLSOM
State CA
Zip Code 95630-6446

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770994055 Jarrod R Mcgahan Family Medicine 2575 E Bidwell St Ste 160, Folsom, CA 95630-6446 2014-05-08
1831247303 Michael Jon Weiss Physical Therapist 2575 E Bidwell St Ste 160, Folsom, CA 95630-6446 2007-01-08
1568536472 Jason Morris Hartsfield Physical Therapist 2575 E Bidwell St Ste 160, Folsom, CA 95630-6446 2006-11-20
1124192968 Andra Maya Saxe Physical Therapist 2575 E Bidwell St Ste 160, Folsom, CA 95630-6446 2006-11-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831724657 Corrections and Rehabilitation Pharmacy 570 E. Natoma Street, Folsom, CA 95630 2020-03-12
1174153027 Haley Harmon Nurse Practitioner 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 2020-01-20
1932741469 Ruma Ramani Jolly Speech-Language Pathologist 250 Mc Adoo Drive, Willow Springs, Apt.911, Folsom, CA 95630 2019-10-16
1750844767 Sharon Munyaanyi Registered Nurse 1600 Creekside Dr Ste 3700, Folsom, CA 95630 2019-04-08
1104308345 Stephanie Whatley Optometrist 2390 E Bidwell St Ste 400, Folsom, CA 95630 2018-09-04
1447746607 Heather Michellee Thrapp Behavioral Analyst 125 Oak Ravine Way, Folsom, CA 95630 2018-07-10
1700370483 Loretta May Delgado Behavior Technician 322 Crow Cany, Folsom, CA 95630 2018-06-18
1417448176 Sound Support Inc. Hearing Instrument Specialist 610 East Bidwell Street, Suite A, Folsom, CA 95630 2018-05-29
1548750144 Don Peterson Md, Sugical Assisting General Practice Mercy Hospital of Folsom (dignity Health Folsom), 1650 Creekside Dr., Folsom, CA 95630 2018-05-18
1245733328 American Heritage Hospice Inc Hospice Care, Community Based 1837 Iron Point Rd Ste 180, Folsom, CA 95630 2018-03-14
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225095888 Melvyn L Harris Emergency Medicine 161 Dawn River Way, Folsom, CA 95630-5048 2006-04-27
1578720124 Cep America - California Emergency Medicine 1650 Creekside Dr, Folsom, CA 95630-3400 2008-05-21
1407040181 David Spencer Smith Emergency Medicine 1650 Creekside Dr, Mercy Hospital Folsom Medical Staff, Folsom, CA 95630-3400 2007-09-05
1902014731 Kevin Donaghy Emergency Medicine 1650 Creekside Dr, Folsom, CA 95630-3400 2007-05-17
1306051362 Justin B Wagner Emergency Medicine 1650 Creekside Dr, Folsom, CA 95630-3400 2007-05-13
1932231909 Byong J Pak Emergency Medicine 1650 Creekside Dr, Folsom, CA 95630-3400 2007-03-12
1588704472 Craig H Morris Emergency Medicine 1650 Creekside Dr, Emergency Department, Folsom, CA 95630 2007-02-08
1780720979 Kendrick Millard Johnson Emergency Medicine 1650 Creekside Dr, Folsom, CA 95630-3400 2007-01-29
1750437026 Grant Glass Nugent Emergency Medicine 1650 Creekside Dr, Folsom, CA 95630-3400 2007-01-26
1891860292 Thomas Owen Miller Emergency Medicine 1650 Creekside Dr, Emergency Department, Folsom, CA 95630-3400 2006-11-21
Find all providers in FOLSOM

Competitor

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City FOLSOM
Zip Code 95630

Improve Information

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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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