HORACE J JACKSON MD PC (NPI# 1851324958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851324958 |
| Entity Type | Organization |
| Organization Name | HORACE J JACKSON MD PC |
| Practice Address |
505 W Leigh Street Suite 207 Richmond VA 23220 |
| Practice Telephone | 8047880556 |
| Practice Fax Number | 8047881141 |
| Mailing Telephone | 8047880556 |
| Mailing Fax Number | 8047881141 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | HORACE J JACKSON (PRESIDENT OWNER) |
| Authorized Official Telephone | 8047880556 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006O49656 | 05 | |
| VA | ANTHEM BS | 006954 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144466368 | Horace J Jackson Md PC | Internal Medicine | 464 Main Street, Warsaw, VA 22572 | 2008-12-17 |
| Street Address |
505 W LEIGH STREET SUITE 207 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285667360 | Lornel G Tompkins | Internal Medicine | 505 W Leigh Street, Suite 207, Richmond, VA 23220 | 2006-07-09 |
| 1467463745 | Commonwealth Cardiology Associates Ltd | Internal Medicine | 505 W Leigh Street, Suite 205, Richmond, VA 23220 | 2006-08-11 |
| 1972538478 | George A Teekah | Internal Medicine | 505 W Leigh Street, Suite 207, Richmond, VA 23220 | 2006-07-12 |
| 1669407003 | Horace J Jackson | Internal Medicine | 505 W Leigh Street, Suite 207, Richmond, VA 23220 | 2006-07-12 |
| 1457384539 | Lornel G Tompkins Md PC | Internal Medicine | 505 W Leigh Street, Suite 207, Richmond, VA 23220 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538637855 | Lindsay Kruger | Health Educator | 2 W Franklin Street, Richmond, VA 23220 | 2018-11-05 |
| 1578045993 | Lauren Jernegan | Physician Assistant | 204 S Mulberry St, Richmond, VA 23220 | 2018-09-01 |
| 1699266312 | Madhura Vikas Chitnavis | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Radiology, 980615, 1250 E Marshall St, Richmond, VA 23220 | 2018-05-29 |
| 1457842759 | Alfred Vann II | Social Worker | 119 W. Leigh St., Richmond, VA 23220 | 2018-05-22 |
| 1598269193 | Lilah Sol | Health Educator | Ymca, 2 W Franklin St., Richmond, VA 23220 | 2018-03-20 |
| 1568965531 | Anne Danforth | Health Educator | 2 West Franklin Street, Downtown Ymca, Richmond, VA 23220 | 2018-03-15 |
| 1154840791 | Constant Change Enterprises LLC | Counselor | 1805 Monument Avenue, Suite 208, Richmond, VA 23220 | 2017-09-14 |
| 1023534393 | Diane H Brown | Social Worker | 2106 Rosewood Avenue, Richmond, VA 23220 | 2017-08-18 |
| 1831624295 | Trent Roubleau | Student in an Organized Health Care Education/Training Program | 2114 Maplewood Ave, Richmond, VA 23220 | 2017-04-24 |
| 1679013312 | Blair Fine | Social Worker | 2117 West Main Street, Richmond, VA 23220 | 2017-02-28 |
| Find all providers in zip 23220 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1750739009 | Omer Shahab | Internal Medicine | Vcuhs Dept of Medicine Gastroenterology 980257, 1250 E. Marshall Street, Richmond, VA 23298-0459 | 2016-05-27 |
| 1578858155 | Mohammad Shadab Siddiqui | Internal Medicine | 1200 E. Broad Street, West Hospital, 14th Floor, Richmond, VA 23298 | 2011-06-13 |
| 1326350570 | Ben Persons Bradenham Jr. | Internal Medicine | 7611 Forest Ave Ste 410, Richmond, VA 23229-4946 | 2010-07-03 |
| 1306083696 | Andy Thanjan | Internal Medicine | 5855 Bremo Rd Ste 706, Richmond, VA 23226-1926 | 2009-01-08 |
| 1093854010 | Nitesh Vachhani | Internal Medicine | 1601 Main St Ste 401, Richmond, TX 77469-3244 | 2007-02-06 |
| 1639252109 | Robert E Mitchell IIi | Internal Medicine | 7605 Forest Ave Ste 211, Richmond, VA 23229-4940 | 2006-10-20 |
| 1144332727 | Wiley J Latham Md and Bernice G Latham Md Partners | Internal Medicine | 505 West Leigh St, Suite 301, Richmond, VA 23220 | 2006-08-31 |
| 1447271952 | Constantinos Adamantios Rozos | Internal Medicine | 4012 W Franklin St, Richmond, VA 23221-1106 | 2006-07-21 |
| 1942234497 | William Michael Pandak Jr. | Internal Medicine | Veterans Affairs Medical Center and Va Commonwealth U, Division of Gastroenterology,111-n, 1201 Broadrock Blvd, Richmond, VA 23249-0001 | 2006-07-10 |
| 1427093152 | Shweta Nagendra Joshi | Internal Medicine | 1630 Wilkes Ridge Pkwy Ste 202, Richmond, VA 23233-7460 | 2006-06-17 |
| 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.