MR. ROBERT BRIAN JACKSON (NPI# 1891792552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891792552 |
| Entity Type | Individual |
| Full Name | MR. ROBERT BRIAN JACKSON |
| Credential | RT (ARRT) |
| Practice Address |
2011 W Mulberry Dr Phoenix AZ 85015-5720 |
| Practice Telephone | 6022419729 |
| Practice Fax Number | 6022949729 |
| Mailing Telephone | 6022419729 |
| Mailing Fax Number | 6022949729 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
CRT-2225 | AZ | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701487 | Robert Jackson | Physical Therapist | 3056 Healthy Way Ste 116, Birmingham, AL 35243-2435 | 2019-10-11 |
| 1881003655 | Robert Donald Jackson | Social Worker | 151 Knollcroft Rd # 116d, Lyons, NJ 07939-5001 | 2014-08-06 |
| 1780005496 | Robert Earl Jackson Jr. | Community Health Worker | 17 Wickham Dr, Columbus, GA 31907-6328 | 2013-12-23 |
| 1073942371 | Robert Jackson | Massage Therapist | 502 11th St Se, Decatur, AL 35601-4908 | 2013-11-06 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1457515330 | Robert Anthony Jackson | Dentist | 2816 Veach Rd., Unit 305, Owensboro, KY 42303 | 2008-07-10 |
| 1437357399 | Robert D Jackson | Counselor | 5525 Erindale Dr Ste 112, Colorado Springs, CO 80918-6960 | 2007-07-03 |
| 1174736029 | Robert Allan Jackson | Physician Assistant | 2109 Brookview Ter Apt B, Pekin, IL 61554-7320 | 2007-05-08 |
| 1144389347 | Robert W Jackson | Dentist | 209 Mimosa Dr, Thomasville, GA 31792-6633 | 2006-12-06 |
| 1144305152 | Robert Eric Jackson | Internal Medicine | 291 Indian Lake Blvd, Hendersonville, TN 37075-3653 | 2006-10-26 |
| Street Address |
2011 W MULBERRY DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349666 | Arizona Portable Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2011 W Mulberry Dr, Phoenix, AZ 85015-5720 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922656453 | Erick Giovanni Nova Sr. | Radiologic Technologist | 3300 W Camelback Rd, Phoenix, AZ 85017-3030 | 2019-08-28 |
| 1528498037 | Frank Mamola | Radiologic Technologist | 209 E Rose Ln, Phoenix, AZ 85012-1242 | 2013-11-19 |
| 1811019565 | Newscan Imaging LLC | Radiologic Technologist | 4235 N 32nd St, Suite A, Phoenix, AZ 85018-4766 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184247173 | Anthony Jacob Hannon | Radiologic Technologist | 8537 W Windrose Dr, Peoria, AZ 85381-8158 | 2020-05-25 |
| 1184175432 | Rene Venzon Ticsay | Radiologic Technologist | Kayenta Health Center Highway 160, Kayenta, AZ 86033 | 2016-10-21 |
| 1497205710 | Kayenta Health Center, Radiology Dept | Radiologic Technologist | Highway 160, Kayenta Health Center, Kayenta, AZ 86033 | 2016-10-11 |
| 1912382573 | Amber Diego | Radiologic Technologist | 1417 N Santa Anna Ct, Chandler, AZ 85224-8327 | 2015-07-24 |
| 1184962276 | William David Reid | Radiologic Technologist | 5535 E Button Ln, Flagstaff, AZ 86001-9705 | 2013-01-23 |
| 1447286737 | Transray of Arizona, P.C. | Radiologic Technologist | 930 N Mesa Dr, #1056, Mesa, AZ 85201-4321 | 2006-06-25 |
| 1245727734 | Lynelle Zahne | Radiologic Technologist | 167 N Main Street, Tuba City, AZ 86045-0600 | 2018-04-19 |
| 1023365665 | Bart Trujillo | Radiologic Technologist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2012-08-14 |
| 1295094183 | Karalyn Begay | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2012-05-11 |
| 1922397520 | Andrew B Mapes | Radiologic Technologist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2011-04-04 |
| 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.