CHARLES JACKSON (NPI# 1760535926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760535926 |
| Entity Type | Individual |
| Full Name | CHARLES JACKSON |
| Credential | DPM |
| Practice Address |
820 N Dalmont St Hobbs NM 88240-5214 |
| Practice Telephone | 5053939137 |
| Practice Fax Number | 5053913977 |
| Mailing Telephone | 5053939137 |
| Mailing Fax Number | 5053913977 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2012-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 80171 | MS | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 1640 | TX | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 239 | NM | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 67753 | 05 | |
| NM | BCBS | NM005310 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457896839 | Charles Jackson | Counselor | 2911 Penick St, Shreveport, LA 71109-4337 | 2016-12-21 |
| 1043655681 | Charles D Jackson | Driver | 4856 W.12th, Suite 1, Cleveland, OH 44109-3424 | 2013-05-09 |
| 1437594553 | Charles Jackson | Social Worker | 18712 Quarry St, Riverview, MI 48193-4527 | 2013-05-02 |
| 1508154105 | Charles Gilbert Jackson Jr. | Psychiatry & Neurology | 88 Crescent St, Northampton, MA 01060-2115 | 2011-07-16 |
| 1457669848 | Charles Edward Jackson Jr. | Psychologist | 1407 Healing Water Lane, N.las Vegas, NV 89031 | 2010-09-20 |
| 1588994081 | Charles Dustin Jackson | Counselor | 5004 Nw 26th St, Oklahoma City, OK 73127-1722 | 2010-01-05 |
| 1508985250 | Charles Arthur Jackson Jr. | Chiropractor | 2455 E Hill Rd, Grand Blanc, MI 48439 | 2007-03-27 |
| 1982769840 | Charles Jackson | Dentist | 3540 82nd St, Jackson Heights, NY 11372-5159 | 2006-12-22 |
| 1437224813 | Charles Wesley Jackson Jr. | Psychologist | 2980 Washington Blvd, Cleveland Heights, OH 44118-2450 | 2006-11-21 |
| 1306929856 | Charles Russell Jackson | Dentist | 1 Med Center Dirve, Morgantown, WV 26506 | 2006-10-20 |
| Street Address |
820 N DALMONT ST |
| City | HOBBS |
| State | NM |
| Zip Code | 88240-5214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225676430 | Dma Professional Services, LLC | Dentist | Degollado 2229, Nuevo Laredo, TAMAULIPAS 88240 | 2019-12-18 |
| 1366930380 | Nor-lea Hospital District | Clinic/Center | 800 N Jefferson St Bldg Shch, Hobbs, NM 88240 | 2018-04-25 |
| 1427553668 | Ahrang Lee | Pharmacist | 1225 North Turner, Hobbs, NM 88240 | 2018-03-29 |
| 1881100907 | George E. Jossell | Pharmacist | 5419 N Lovington Highway, Hobbs, NM 88240 | 2017-12-27 |
| 1912445495 | Brittany Briseno | Social Worker | 615 West Broadway, Suite 2, Hobbs, NM 88240 | 2017-02-06 |
| 1780122291 | Valerie Kleespies | Social Worker | 215 West Broadway Street, Suite 2, Hobbs, NM 88240 | 2017-02-03 |
| 1841693082 | Cecillia Anna Espinoza | Counselor | 215 W. Broadway N#1, Hobbs, NM 88240 | 2014-10-02 |
| 1982020814 | Jennifer Pyeatt | Pharmacist | 715 W Bender, Hobbs, NM 88240 | 2014-03-17 |
| 1952738627 | Carlos Alberto Revelo | Internal Medicine | 3028 N Grimes St, Hobbs, NM 88240 | 2013-09-26 |
| 1710232665 | Border Dental Billing LLC | Dentist | Santos Degollado 3343, Nuevo Laredo, TAMAULIPAS 88240 | 2012-07-17 |
| Find all providers in zip 88240 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033204854 | Michael D Cohen | Podiatrist | 1006 N Linam St, Hobbs, NM 88240-5128 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710360037 | Yvonne Miriaku Muojieje | Podiatrist | 4500 N Sonoma Ranch Blvd, Las Cruces, NM 88011-7334 | 2015-07-06 |
| 1437536786 | Daniel L. Peterson | Podiatrist | 4401 Coors Blvd Sw Ste A, Albuquerque, NM 87121-6460 | 2015-05-06 |
| 1396146957 | Stephanie Gonzalez | Podiatrist | 4151 Camino Coyote Ste B, Las Cruces, NM 88011-7096 | 2014-09-12 |
| 1699060202 | Juan Tabo Foot Health Center, PC | Podiatrist | 1925 Juan Tabo Blvd Ne, Suite D, Albuquerque, NM 87112-3366 | 2011-06-10 |
| 1043518335 | Center for Foot Care, Ltd | Podiatrist | 3064 Plaza Blanca, Santa Fe, NM 87507 | 2011-03-10 |
| 1891954657 | Theodore L Varoz Dpm | Podiatrist | 1204 Candelaria Rd Nw, Albuquerque, NM 87107-2766 | 2008-06-06 |
| 1710175872 | J Garey Ritchie | Podiatrist | 904 E 20th St Ste C, Farmington, NM 87401-4281 | 2007-10-13 |
| 1811197346 | Attlee Becenti Benally | Podiatrist | 1 Sagebrush Rd., Isleta Pueblo Diabetic Clinic, Isleta, NM 87022 | 2007-07-23 |
| 1922219203 | Albuquerque Associated Podiatrists | Podiatrist | 121 Sycamore St Ne, Albuquerque, NM 87106-4622 | 2007-05-25 |
| 1528128352 | Faith Carin Shapiro | Podiatrist | 1903 Wyoming Blvd Ne, Suite C, Albuquerque, NM 87112-2821 | 2006-12-11 |
| 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.