ELLEN S JACKSON (NPI# 1740280700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740280700 |
| Entity Type | Individual |
| Full Name | ELLEN S JACKSON |
| Credential | DC |
| Practice Address |
7870 W Ridge Rd Suite 3 Fairview PA 16415-1808 |
| Mailing Address |
Po Box 914 7870 West Ridge Rd, Ste 3 Fairview PA 16415-0914 |
| Practice Telephone | 8144743446 |
| Practice Fax Number | 8144742535 |
| Mailing Telephone | 8144743446 |
| Mailing Fax Number | 8144742535 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2007-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC007701L | PA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE CROSS BLUE | 0013447766 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730353400 | Ellen Kimberly Jackson | Non-emergency Medical Transport (VAN) | 14122 S Wabash Ave, Riverdale, IL 60827-2236 | 2008-04-14 |
| 1710013099 | Ellen Gilbert Jackson | Pharmacist | 324 Patton Street, Medithrift Pharmacy, La Fayette, GA 30728 | 2007-02-23 |
| 1235743907 | Ellen Jackson | Behavior Technician | 9900 Gilmore Ridge Rd, Nashville, IN 47448-9731 | 2020-09-01 |
| 1164993168 | Ellen Jackson | Physical Therapist | 4083 Austin Bluffs Pkwy Ste 101a, Colorado Springs, CO 80918-5928 | 2018-12-17 |
| 1568519718 | Ellen Marie Jackson | Social Worker | 3 Fundy Rd, Falmouth, ME 04105-1796 | 2007-01-03 |
| Street Address |
7870 W RIDGE RD SUITE 3 |
| City | FAIRVIEW |
| State | PA |
| Zip Code | 16415-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407814684 | Caring Chiropractic Services, PC | Chiropractor | 7870 W Ridge Rd, Suite 3, Fairview, PA 16415-1808 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013451947 | Stefanie Hallowell | Counselor | 2445 West 34th Street, Fairview, PA 16415 | 2016-12-12 |
| 1952621203 | Katherine Walenciak Ulrich | Speech-Language Pathologist | 6019 Pebble Creek Dr, Fairview, PA 16415 | 2010-06-09 |
| 1366560815 | Medical Associates of Erie | Family Medicine | 7686 West Ridge Rd, Fairview, PA 16415 | 2007-03-26 |
| 1306979943 | Susan E Maland | Prosthetist | 7371 Fairweather Drive, Fairview, PA 16415 | 2007-03-13 |
| 1821172610 | Lawrence John Amenta | Dentist | 7435 West Ridge Rd, Box 496, Fariview, PA 16415 | 2006-10-25 |
| 1356360762 | Richard Sy Sposito | Family Medicine | 7686 West Ridge Rd., Fairview, PA 16415 | 2006-07-18 |
| 1477518124 | Richard Anthony Ortoski | Family Medicine | 7686 West Ridge Road, Fairview, PA 16415 | 2006-04-18 |
| 1184099012 | Mary Kathryn Washok | Occupational Therapy Assistant | 900 Manchester Road, Fairview, PA 16415 | 2015-12-03 |
| 1578938403 | Laurie Jackson Hudson | Physical Therapist | 900 Manchester Road, Fairview, PA 16415 | 2015-12-03 |
| 1689748766 | Michael William Brown | Dentist | 7435 West Ridge Rd, Fairview, PA 16415-0496 | 2006-11-20 |
| Find all providers in zip 16415 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558732123 | Greenhead Diagnostics, LLC | Chiropractor | 637 Merlot Ct, Fairview, TX 75069-1521 | 2015-10-08 |
| 1619135886 | Lenore Lynn Wolfe | Chiropractor | 29945 Palm Rd, Fairview, MO 64842-7107 | 2008-05-23 |
| 1790950228 | Springwater Chiropractic Inc | Chiropractor | 1659 Ne Market Drive, Fairview, OR 97024-3867 | 2008-04-25 |
| 1558548024 | Lee W. Ligon, D.c., P.C. | Chiropractor | 990 State Highway 5, Suite 103, Fairview, TX 75069-9461 | 2008-01-28 |
| 1295954030 | Brian Edward Kiczek | Chiropractor | 216 Anderson Ave, Rear Office, Fairview, NJ 07022-1468 | 2007-04-24 |
| 1750509402 | Bergen Spine Center, LLC | Chiropractor | 323 Bergen Boulevard, Fairview, NJ 07022-1334 | 2007-04-20 |
| 1275756181 | Lee Wilson Ligon | Chiropractor | 990 S State Highway 5, Suite 103, Fairview, TX 75069-9461 | 2007-04-10 |
| 1891815957 | Robert Craig Stassi I | Chiropractor | 1606 Ne 223rd Ave, Fairview, OR 97024-2662 | 2007-03-30 |
| 1699816538 | Brian M Wraith | Chiropractor | 323 Bergen Blvd, Suite 3, Fairview, NJ 07022-1334 | 2007-02-12 |
| 1033145842 | Cherie A Mckenzie | Chiropractor | 1554 N Abbe Rd, Fairview, MI 48621-8719 | 2006-06-23 |
| Find all providers in FAIRVIEW | ||||
Please comment or provide details below to improve the information on ELLEN S JACKSON.
| 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.