GEORGE M JACKSON (NPI# 1770517666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770517666 |
| Entity Type | Individual |
| Full Name | GEORGE M JACKSON |
| Credential | MD |
| Practice Address |
1030 Nevin Ave Richmond CA 94801-3122 |
| Mailing Address |
2344 6th St Berkeley CA 94710-2412 |
| Practice Telephone | 5109813209 |
| Mailing Telephone | 9252547869 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2014-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | G39327 | CA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | G39327 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659755486 | George Jackson | Ophthalmology | 5000 Se Burning Tree Cir, Stuart, FL 34997-8701 | 2015-07-10 |
| 1720386089 | George Anthony Jackson | Pharmacist | 1333 5th Ave, Garner, NC 27529-3637 | 2011-03-09 |
| 1295987568 | George F. Jackson Jr. | Dentist | 1000 N Main St Ste 5, Lansing, KS 66043-1315 | 2008-10-17 |
| 1497824304 | George Woody Jackson | Internal Medicine | 1440 Highway 62 412, Highland, AR 72542-9497 | 2006-11-06 |
| 1124369863 | George Hagan Jackson | Psychiatry & Neurology | 5231 Hickory Park Dr, Suite D, Glen Allen, VA 23059-2619 | 2013-03-05 |
| 1578777876 | George Darryl Jackson | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30045-8444 | 2007-05-09 |
| 1932320124 | George Jackson | Spec/Tech, Pathology | 130 West Kingsbridge Road, Bronx V.a. Medical Center, Bronx, NY 10468-3904 | 2007-05-02 |
| 1477690089 | George Thomas Jackson Jr. | Nurse Anesthetist, Certified Registered | 244 Smith Church Rd, Roanoke Rapids, NC 27870-4956 | 2007-01-31 |
| 1932245032 | George F. Jackson IIi | Psychiatry & Neurology | 5909 Orchard St W, Tacoma, WA 98467-3824 | 2007-01-29 |
| 1689690539 | George Robert Jackson | Psychiatry & Neurology | 300 Medical Plaza, #b200, Los Angeles, CA 90095-0001 | 2006-07-14 |
| Street Address |
1030 NEVIN AVE |
| City | RICHMOND |
| State | CA |
| Zip Code | 94801-3122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992340830 | Christine Tarrant | Social Worker | 1030 Nevin Ave, Richmond, CA 94801-3122 | 2019-11-14 |
| 1679123616 | Shevaun M Lewallen | Nurse Practitioner | 1030 Nevin Ave, Richmond, CA 94801-3122 | 2019-09-11 |
| 1225418544 | Lifelong Medical Care | Social Worker | 1030 Nevin Ave, Richmond, CA 94801-3122 | 2015-06-02 |
| 1659682854 | Bamidele Ayoola Olatunbosun | Family Medicine | 1030 Nevin Ave, Richmond, CA 94801-3122 | 2010-06-23 |
| 1417147422 | Teshina Nicole Wilson | Family Medicine | 1030 Nevin Ave, Richmond, CA 94801-3122 | 2007-07-26 |
| 1407973043 | Lifelong Medical Care | Clinic/Center | 1030 Nevin Ave, Richmond, CA 94801-3122 | 2007-03-26 |
| 1306943451 | Barbara Ann Williamson | Registered Nurse | 1030 Nevin Ave, Richmond, CA 94801-3122 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154815082 | Denise Carey | Social Worker | 900 Nevin, Richmond, CA 94801 | 2018-06-14 |
| 1063909414 | Sunjae Jung | Dentist | 265 16th St, Richmond, Richmond, CA 94801 | 2018-04-20 |
| 1780100479 | Daniel Chen | Dentist | 520 Seacliff Pl, Richmond, CA 94801 | 2017-08-15 |
| 1790043347 | Kanwal Ambar Merchant | Pediatrics | 150 Harbor Way, Richmond, CA 94801 | 2012-05-01 |
| 1114182607 | Christopher Gibney | Acupuncturist | 723 Western Drive, Richmond, CA 94801 | 2008-07-23 |
| 1134320732 | Beverly Jo Skipper | Technician/Technologist | 322 Harbour Way, Suite 2, Richmond, CA 94801 | 2007-05-30 |
| 1306058383 | Judy S. Chin | Acupuncturist | 139 W. Richmond Ave., Suite 7, Pt. Richmond, CA 94801 | 2007-05-04 |
| 1720154636 | Marianne Philippek | Nurse Practitioner | 901 Nevin Avenue, Richmond, CA 94801 | 2006-11-24 |
| 1578645511 | Bridget Grace Moran | Registered Nurse | 901nevin Ave, Building C, 2nd Floor, Richmond, CA 94801 | 2006-10-19 |
| 1891875654 | Phyllis W. Zisman | Pharmacist | Kaiser Foundation Hospital, 901 Nevin Ave., Richmond, CA 94801 | 2006-10-16 |
| Find all providers in zip 94801 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421538 | Doctors Who Care Pllc | Internal Medicine | 1601 Main St Ste 309, Richmond, TX 77469-3230 | 2020-09-11 |
| 1093367245 | Maya Susan Varkey | Internal Medicine | 8119 Cheyenne Hills Trl, Richmond, TX 77406-1626 | 2019-07-09 |
| 1780164426 | Kelly Clinic | Internal Medicine | 5503 Fm 359 Rd Ste C, Richmond, TX 77406-7835 | 2018-08-21 |
| 1013411032 | Graham Philip Mcrary | Internal Medicine | Vcuhs Dept of Pm&r, 9860667, 1250 E. Marshall Street, Richmond, VA 23298-0000 | 2018-03-23 |
| 1306340153 | Eric Sheldon Jacobson | Internal Medicine | 2956 Hathaway Rd, Apt. 1101, Richmond, VA 23225 | 2018-03-19 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1801322821 | Adnan Alam Khan | Internal Medicine | 1721 Hanover Ave Unit A, Richmond, VA 23220-3505 | 2017-05-11 |
| 1568900439 | John Edward Tysell Jr. | Internal Medicine | 437 Carlston Street, Richmond, CA 94805 | 2017-02-10 |
| 1457898702 | Michael Ngo D.o. American Board of Internal Medicine Certified Pllc | Internal Medicine | 11130 Drumadoon Dr, Richmond, TX 77407-2036 | 2017-01-25 |
| 1346796091 | Thaer Saqer Mustafa Abdelfattah | Internal Medicine | Vcuhs Dept of Gastroenterology Fellowship, 980509, 1250 E. Marshall Street, Richmond, VA 23298-0509 | 2016-08-31 |
| Find all providers in RICHMOND | ||||
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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.