DR. IRENE CHRISTINE JACKSON (NPI# 1750409900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750409900 |
| Entity Type | Individual |
| Full Name | DR. IRENE CHRISTINE JACKSON |
| Credential | M.D. |
| Practice Address |
18 Old Rudnick Ln Dover DE 19901-4912 |
| Mailing Address |
14607 Peach Orchard Rd Silver Spring MD 20905-4437 |
| Practice Telephone | 3026743935 |
| Mailing Telephone | 3013848243 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | CL-0007802 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 0430030 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927723 | Irene Dormenie Jackson | Counselor | 904 Woodgreen Dr, Durham, NC 27704-6034 | 2020-09-18 |
| 1417197344 | Irene Shetzline Jackson | Speech-Language Pathologist | 1006 S Columbus St, Arlington, VA 22204-3424 | 2009-03-05 |
| Street Address |
18 OLD RUDNICK LN |
| City | DOVER |
| State | DE |
| Zip Code | 19901-4912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639216641 | Kaza Medical Group | Pediatrics | 18 Old Rudnick Ln, Dover, DE 19901-4912 | 2007-01-31 |
| 1376187229 | Allison Marie Muer | Physician Assistant | 18 Old Rudnick Ln, Dover, DE 19901-4912 | 2019-11-04 |
| 1568996544 | Hinal Patel | Podiatrist | 18 Old Rudnick Ln, Dover, DE 19901-4912 | 2017-04-17 |
| 1205107463 | Teresa Casella | Physician Assistant | 18 Old Rudnick Ln, Dover, DE 19901-4912 | 2012-01-19 |
| 1710291562 | Richa Sharma | Pediatrics | 18 Old Rudnick Ln, Dover, DE 19901-4912 | 2010-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386274488 | Aba Services, LLC | Behavioral Analyst | 8 The Green, Ste R, Dover, DE 19901 | 2020-01-17 |
| 1699332171 | Robin Lynn Maracle | Clinical Nurse Specialist | 640 S. State St., Mail Code 1403, Dover, DE 19901 | 2019-05-21 |
| 1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
| 1831610534 | Vaman Kanu Patel | Physical Therapist | 16 Coventry Ct, Dover, DE 19901 | 2017-07-03 |
| 1033656798 | American Medical LLC | Durable Medical Equipment & Medical Supplies | 9 E. Lockerman Street, #202, Dover, DE 19901 | 2017-01-19 |
| 1245575067 | Keena Segre | Pharmacist | 601 South State Street, Dover, DE 19901 | 2012-12-05 |
| 1376845818 | Michael Angelo Vernale IIi | Psychologist | 260 Chad Street, Dover Afb, Dover, DE 19901 | 2010-12-02 |
| 1396046215 | Richard Scott Shipley | Hearing Instrument Specialist | 1000 Dover Mall,miracle Ear/sears/, Route 13 North Dupont Hwy., Dover, DE 19901 | 2010-11-09 |
| 1780999599 | Suzanne Irene Ford | Speech-Language Pathologist | 1695 S. State Street Suite 5-a, Dover, DE 19901 | 2010-08-17 |
| 1780816231 | Karen A West | Nutritionist | 540 S State St, Dover, DE 19901 | 2009-08-18 |
| Find all providers in zip 19901 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548528011 | Srg Consulting | Allergy & Immunology | 874 Walker Rd Ste C, Dover, DE 19904-2778 | 2012-05-02 |
| 1770669160 | William Edwin Hermance | Allergy & Immunology | 18 Old Rudnick Lane, Dover, DE 19901-4912 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518347095 | Michelle Marie Clark | Allergy & Immunology | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803 | 2015-06-01 |
| 1548353345 | Leonard H Seltzer | Allergy & Immunology | 1309 Veale Rd, Suite 11, Wilmington, DE 19810-4609 | 2006-10-02 |
| 1760495097 | Michael Wydila | Allergy & Immunology | 1400 Philadelphia Pike, Suite A6, Wilmington, DE 19809 | 2006-08-15 |
| 1801815725 | Andrew George Weinstein | Allergy & Immunology | 310 Christiana Medical Ctr, Christiana, DE 19702-1653 | 2006-07-19 |
| 1861470767 | Gregory V. Marcotte | Allergy & Immunology | 1700 Shallcross Ave, Suite 1, Wilmington, DE 19806-2344 | 2006-01-03 |
| 1912904038 | David Peter Wien | Allergy & Immunology | 708 Greenbank Rd, Wilmington, DE 19808-3168 | 2005-07-05 |
| 1275040883 | Next Century Medical Care LLC | Allergy & Immunology | 1400 Philadelphia Pike Ste A4, Wilmington, DE 19809-1856 | 2018-01-04 |
| 1942729819 | Thomas Graves | Allergy & Immunology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2017-09-12 |
| 1033455381 | Junfang Jiao | Allergy & Immunology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2012-12-13 |
| 1922323237 | Megan Marie Morsheimer | Allergy & Immunology | 1600 Rockland Rd, Nemours Dupont Pediatrics, Wilmington, DE 19803-3607 | 2010-03-30 |
| Find all providers with the same taxonomy | ||||
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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.