JASON MATTHEW JACKSON (NPI# 1871844191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871844191 |
Entity Type | Individual |
Full Name | JASON MATTHEW JACKSON |
Credential | PA-C |
Practice Address |
930 W Ralph Hall Pkwy Ste 108 Rockwall TX 75032-6664 |
Practice Telephone | 9729610300 |
Enumeration Date | 2012-09-26 |
Last Update Date | 2013-08-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912363458 | Jason Jackson | Technician, Pathology | 4 E Weald Ave, Bear, DE 19701-1664 | 2016-01-13 |
1932374428 | Jason Jackson | Physical Therapist | 2631 Cottage Creek Dr, Pearland, TX 77584-9801 | 2008-04-25 |
1508491614 | Jason A Jackson | Pharmacist | 416 S Tyler St, Amarillo, TX 79101-2346 | 2020-03-09 |
1134782337 | Jason Allen Jackson | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2019-04-15 |
1619381548 | Jason Jackson | Community Based Residential Treatment Facility, Mental Illness | 2470 Wrondel Way Ste 275, Reno, NV 89502-3701 | 2014-06-18 |
1346660826 | Jason Ryan Jackson | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2014-04-23 |
1285059519 | Jason Jackson | Counselor | 739 Thimble Shoals Blvd, Newport News, VA 23606-3562 | 2014-02-24 |
1033290226 | Jason Jackson | Physical Therapist | 1468 Madison Avenue, New York, NY 10029-6574 | 2006-10-17 |
1649378464 | Jason Cole Jackson | Chiropractor | 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 | 2006-09-20 |
1316907298 | Jason Jackson | Emergency Medicine | 1141 Rose Ave, Selma, CA 93662-3241 | 2006-03-24 |
Street Address |
930 W RALPH HALL PKWY STE 108 |
City | ROCKWALL |
State | TX |
Zip Code | 75032-6664 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649804089 | Fernando Sosa IIi | Nurse Practitioner | 930 W Ralph Hall Pkwy Ste 108, Rockwall, TX 75032-6664 | 2020-02-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
1720649338 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 551 Laurence Dr, Health, TX 75032 | 2019-06-25 |
1346725579 | Arc 32 Family Dentistry | Dentist | 4 Horizon Court Suite 400, Heath, TX 75032 | 2018-10-03 |
1275039257 | Karina Bartz Dds Pllc | Dentist | 110 Smirl Drive, Suite 101, Heath, TX 75032 | 2018-03-30 |
1861994337 | Lumin Health Physician Group, Pa | Pain Medicine | 4450 Tubbs Road, Rockwall, TX 75032 | 2018-03-01 |
1871002816 | Aurentz Family Dental | Clinic/Center | 3140 Horizon Rd Suite 103, Rockwall, TX 75032 | 2017-09-21 |
1902200199 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4282 Ridge Rd, Heath, TX 75032 | 2014-10-16 |
1962744714 | Yongrui Luan | Pediatrics | 1005 W Ralph Hall Pkwy Ste 135, Rockwall, TX 75032 | 2013-03-20 |
1558608679 | Nikalaus Loyd Laymon | Massage Therapist | 860 Ralph Hall Pkwy, #46, Rockwall, TX 75032 | 2013-01-09 |
1932444999 | Chiro One Wellness Center of Rockwall Pllc | Chiropractor | 2881 Market Center Drive, Rockwall, TX 75032 | 2012-12-03 |
Find all providers in zip 75032 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235317702 | Liesl Marie Connelly | Physician Assistant | 1005 W. Ralph Hall Pkwy, Suite 201, Rockwall, TX 75032-6662 | 2008-02-06 |
1982243663 | Cryselda Trevino | Physician Assistant | 2265 N Lakeshore Dr Ste 101, Rockwall, TX 75087-3210 | 2019-12-30 |
1255441630 | Ruben Pacheco | Physician Assistant | 6617 Heritage Pkwy, Suite 110, Rockwall, TX 75087-8750 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
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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.