JAMES JASON JACKSON (NPI# 1760646392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760646392 |
| Entity Type | Individual |
| Full Name | JAMES JASON JACKSON |
| Credential | MD |
| Practice Address |
3330 Nw 56th St Ste 612 Oklahoma City OK 73112-4470 |
| Mailing Address |
13924 Quail Pointe Dr Ste B Oklahoma City OK 73134-1024 |
| Practice Telephone | 4056018810 |
| Practice Fax Number | 4056018846 |
| Mailing Telephone | 4058967901 |
| Enumeration Date | 2008-07-13 |
| Last Update Date | 2018-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 27258 | OK | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 50665 | MN | Allopathic & Osteopathic Physicians |
| Y | 202K00000X | Phlebology | 27258 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373456 | James Andy Jackson | Counselor | 14239 Charles Pollock Ave, El Paso, TX 79938-3197 | 2020-10-14 |
| 1770905200 | James Jackson | Legal Medicine | 1404 Chandler Rd Se, Huntsville, AL 35801-1406 | 2014-01-17 |
| 1811282247 | James Allen Jackson | Social Worker | 5209 Point Fosdick Dr Nw Ste 205, Gig Harbor, WA 98335 | 2011-06-14 |
| 1154656460 | James Bruce Jackson | Surgery | 2004 Lexington Ave, Mansfield, OH 44907-3024 | 2009-10-05 |
| 1710118625 | James W Jackson | Behavioral Analyst | 1111 N Cedar Rd, New Lenox, IL 60451-1419 | 2009-07-27 |
| 1386843050 | James Andrew Jackson | Dentist | 228 Main St., Nettleton, MS 38858 | 2007-07-13 |
| 1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1518003078 | James Edward Jackson | Social Worker | 736 Se 18th Ave, Ocala, FL 34471-4114 | 2007-01-30 |
| 1871648253 | James Richard Jackson | Physician Assistant | 3403 S Padre Island Dr Ste 301, Corpus Christi, TX 78415-2925 | 2007-01-24 |
| 1891848529 | James Fred Jackson | Dentist | 1193 Pineview Dr, Morgantown, WV 26505-2700 | 2007-01-18 |
| Street Address |
3330 NW 56TH ST STE 612 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902943400 | Victoria Mills | Obstetrics & Gynecology | 3330 Nw 56th St Ste 612, Oklahoma City, OK 73112-4470 | 2007-01-31 |
| 1558858068 | James Jackson, Md LLC | Clinic/Center | 3330 Nw 56th St Ste 612, Oklahoma City, OK 73112-4470 | 2018-04-19 |
| 1821495433 | Cimarron Perioperative Services Pllc | Anesthesiology | 3330 Nw 56th St Ste 612, Oklahoma City, OK 73112-4470 | 2014-11-25 |
| 1306248950 | Dl Anesthesia | Anesthesiology | 3330 Nw 56th St Ste 612, Oklahoma City, OK 73112-4470 | 2014-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 202K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Phlebology |
| Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. |
| Notes: Source: American College of Phlebology 12/2006. www.phelbology.org [1/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: Training Programs, Fellowships, and/or Preceptorships: Certification exam is being established by the American Board of Phlebology. ACGME Accredited Residency Program Requirements: None |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013444298 | Essential Integrative Health Pllc | Phlebology | 3330 Nw 56th St, Suite 612, Oklahoma City, OK 73112-4479 | 2017-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965992 | Kirstein M Montoya | Phlebology | 7777 E Us Highway 66, El Reno, OK 73036-9125 | 2020-03-02 |
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.