CHRISTINE JACKSON (NPI# 1861476889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861476889 |
| Entity Type | Individual |
| Full Name | CHRISTINE JACKSON |
| Credential | MD |
| Practice Address |
162 W Central Ave Eagar AZ 85925-9707 |
| Mailing Address |
Po Box 1120 Eagar AZ 85925-1120 |
| Practice Telephone | 9283331030 |
| Practice Fax Number | 9283331033 |
| Mailing Telephone | 9283331030 |
| Mailing Fax Number | 9283331033 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2010-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
13940 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 274613 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447735774 | Christine A Jackson | Driver | 2791 Burri Ter, North Port, FL 34288-6337 | 2018-10-02 |
| 1366952947 | Christine Jackson | Massage Therapist | 5103 N 10th St, Mcallen, TX 78504-2835 | 2017-10-09 |
| 1881049260 | Christine Jackson | Social Worker | 9115 Warwick, Detroit, MI 48228 | 2016-05-04 |
| 1114286150 | Christine Stevens Jackson | Technician, Pathology | 161 Liberty St, Mc Clellanville, SC 29458-9721 | 2012-05-11 |
| 1275773665 | Christine Denise Jackson | Nurse Practitioner | 324 Courthouse Sq, Bay Minette, AL 36507-4809 | 2009-02-25 |
| 1114087996 | Christine Jackson | Family Medicine | 65 East 100 North, Gunnison, UT 84634-0759 | 2006-12-11 |
| 1164040515 | Christine Elizabeth Jackson | Obstetrics & Gynecology | 7710 Mercy Rd Ste 602, Omaha, NE 68124-2371 | 2020-07-13 |
| 1437628252 | Christine Jackson | Behavior Technician | 1100 Melody Ln Ste 111, Roseville, CA 95678-5204 | 2018-11-21 |
| 1689129322 | Christine Jackson | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2016-08-23 |
| 1790142289 | Christine Jackson | Registered Nurse | 3020 Bailey Ave, Buffalo, NY 14215-2814 | 2016-01-28 |
| Street Address |
162 W CENTRAL AVE |
| City | EAGAR |
| State | AZ |
| Zip Code | 85925-9707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851950588 | Nicholas Talbert Mallory | Dentist | 133 W Central Ave, Eagar, AZ 85925 | 2019-06-06 |
| 1063945277 | Ez Counseling | Community/Behavioral Health | 910 S Burk St, Eagar, AZ 85925 | 2017-04-05 |
| 1114393782 | Mason Wade Trezise | Specialist/Technologist | 98 E 7th Pl, Eagar, AZ 85925 | 2015-08-18 |
| 1841673076 | Marshall Hunt Hamblin | Dentist | 133 West Central Ave., Eagar, AZ 85925 | 2015-07-07 |
| 1174895395 | Kevin M Eagar | Chiropractor | 41 W 2nd Ave, Eagar, AZ 85925 | 2012-02-03 |
| 1144465568 | Natalie Sue Cordova | Speech-Language Pathologist | 165 Brown Street, Eagar, AZ 85925 | 2008-12-15 |
| 1467500488 | Friendship House-rvccc | Assisted Living Facility | 381 E Third Ave, Eagar, AZ 85925 | 2007-01-08 |
| 1477611135 | Round Valley Unified School District #10 | Local Education Agency (LEA) | 165 S. Brown, Eagar, AZ 85925 | 2006-12-05 |
| 1316015712 | Brooke Arlene Mccarthy | Occupational Therapist | 352 North Renee Street, Eagar, AZ 85925 | 2006-12-01 |
| 1326003427 | Stephen M Palmer Dds PC | Dentist | 74 N Main St, Ste 9, Eagar, AZ 85925 | 2006-04-20 |
| Find all providers in zip 85925 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
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|---|---|---|---|---|
| 1528673092 | Cai Ncp East Mesa Jv LLC | Internal Medicine | 10238 E Hampton Ave Ste 201, Mesa, AZ 85209-3318 | 2020-09-11 |
| 1073131561 | Ponderosa Heart House Call | Internal Medicine | 115 S Alto St Ste 3, Prescott, AZ 86303-3603 | 2020-07-10 |
| 1710504667 | Honorhealth Ambulatory | Internal Medicine | 20201 N Scottsdale Healthcare Dr Ste 200, Scottsdale, AZ 85255-4137 | 2020-06-26 |
| 1174149132 | Honorhealth Ambulatory | Internal Medicine | 9250 W Thomas Rd Ste 300, Phoenix, AZ 85037-3384 | 2020-06-24 |
| 1427523471 | Dr. David Wilcoxson and Associates, LLC | Internal Medicine | 6641 E Baywood Ave Ste B3, Mesa, AZ 85206-1723 | 2018-10-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1245733716 | Argento Medical Group LLC | Internal Medicine | 8410 W Thomas Rd Ste 120, Phoenix, AZ 85037-3356 | 2018-03-12 |
| 1508235730 | Joseph Parraz | Internal Medicine | 14340 S Durango Rd # 4, Arizona City, AZ 85123-8719 | 2015-09-17 |
| 1265809628 | Scottsdale Heart & Vascular Associates LLC | Internal Medicine | 4040 E Larkspur Dr, Phoenix, AZ 85032-7420 | 2015-09-01 |
| 1326438276 | Healthfinity, Pllc | Internal Medicine | 6316 W Union Hills Dr Ste 210, Glendale, AZ 85308-1001 | 2015-01-30 |
| 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.