DR. JAMES BENJAMIN JACKSON III (NPI# 1912165234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912165234 |
| Entity Type | Individual |
| Full Name | DR. JAMES BENJAMIN JACKSON III |
| Credential | MD |
| Practice Address |
2 Medical Park Rd Lower Level Suite L9/l10 Columbia SC 29203-6808 |
| Mailing Address |
Po Box 22265 Belfast ME 04915-4473 |
| Practice Telephone | 8034346812 |
| Practice Fax Number | 8034347306 |
| Mailing Telephone | 8032967846 |
| Mailing Fax Number | 8032969699 |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2018-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 37261 | SC | Allopathic & Osteopathic Physicians |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
37261 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 372616 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Medical Park Rd, Lower Level Suite L9/l10, Columbia, SC 292036808 | 8034346812 | 8034347306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373456 | James Andy Jackson | Counselor | 14239 Charles Pollock Ave, El Paso, TX 79938-3197 | 2020-10-14 |
| 1770905200 | James Jackson | Legal Medicine | 1404 Chandler Rd Se, Huntsville, AL 35801-1406 | 2014-01-17 |
| 1811282247 | James Allen Jackson | Social Worker | 5209 Point Fosdick Dr Nw Ste 205, Gig Harbor, WA 98335 | 2011-06-14 |
| 1154656460 | James Bruce Jackson | Surgery | 2004 Lexington Ave, Mansfield, OH 44907-3024 | 2009-10-05 |
| 1710118625 | James W Jackson | Behavioral Analyst | 1111 N Cedar Rd, New Lenox, IL 60451-1419 | 2009-07-27 |
| 1386843050 | James Andrew Jackson | Dentist | 228 Main St., Nettleton, MS 38858 | 2007-07-13 |
| 1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1518003078 | James Edward Jackson | Social Worker | 736 Se 18th Ave, Ocala, FL 34471-4114 | 2007-01-30 |
| 1871648253 | James Richard Jackson | Physician Assistant | 3403 S Padre Island Dr Ste 301, Corpus Christi, TX 78415-2925 | 2007-01-24 |
| 1891848529 | James Fred Jackson | Dentist | 1193 Pineview Dr, Morgantown, WV 26505-2700 | 2007-01-18 |
| Street Address |
2 MEDICAL PARK RD LOWER LEVEL SUITE L9/L10 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952383481 | Andrea Adams Sellers | Genetic Counselor, MS | 2 Medical Park Rd, Columbia, SC 29203-6808 | 2005-11-18 |
| 1174070429 | Chay N Malvasio | Physician Assistant | 2 Medical Park Rd, Suite L9, Columbia, SC 29203 | 2016-09-03 |
| 1427501873 | Jaclyn Gravis | Nurse Practitioner | 2 Medical Park Rd, Suite 501, Columbia, SC 29203-6808 | 2016-08-02 |
| 1952784092 | Chad Schmidt | Specialist | 2 Medical Park Rd, Columbia, SC 29203-6808 | 2015-07-07 |
| 1083013593 | Katie Coulter | Specialist/Technologist | 2 Medical Park Rd, Suite 104, Columbia, SC 29203-6808 | 2014-08-20 |
| 1053729905 | Whitney Dobek | Genetic Counselor, MS | 2 Medical Park Rd, Suite 103, Columbia, SC 29203-6808 | 2014-07-23 |
| 1861809162 | Emily Olivia Rosebrough Jordon | Genetic Counselor, MS | 2 Medical Park Rd, Suite 103, Columbia, SC 29203-6808 | 2014-07-18 |
| 1992042360 | Jessica Alexis Koller | Physical Medicine & Rehabilitation | 2 Medical Park Rd, Columbia, SC 29203-6808 | 2013-01-05 |
| 1497013643 | Katherine Meriwether Hartley | Social Worker | 2 Medical Park Rd, Suite 506, Columbia, SC 29203-6808 | 2012-04-25 |
| 1245471895 | Karen L Edwards | Specialist/Technologist | 2 Medical Park Rd, Lower Level, Columbia, SC 29203-6808 | 2009-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1912523085 | Julia Anne Prodoehl | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Surgery, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-24 |
| 1285253336 | Providence Physician Practices LLC | Orthopaedic Surgery | 114 Gateway Corporate Blvd Ste 220a, Columbia, SC 29203-9785 | 2020-04-09 |
| 1528627346 | John Charles Sharpe | Orthopaedic Surgery | Orthopaedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2019-06-06 |
| 1578054383 | Michael Jefferson Spitnale | Orthopaedic Surgery | Orthopedic Surgery Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2018-05-29 |
| 1669901997 | Patrick David Rowan | Orthopaedic Surgery | 1100 Virginia Avenue Dc 953 00, Columbia, MO 65212-0001 | 2017-06-09 |
| 1699156760 | Paul Hutchinson | Orthopaedic Surgery | 1100 Virginia Ave Rm 4056, Columbia, MO 65212-0001 | 2015-06-15 |
| 1053722652 | Thomas Jenner Huber | Orthopaedic Surgery | 3250 Pulaski Hwy, Columbia, TN 38401-8516 | 2014-05-16 |
| 1437597325 | Hari O Gupta | Orthopaedic Surgery | 10700 Charter Dr Ste 140, Columbia, MD 21044-3631 | 2013-06-13 |
| 1487901807 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 1215 Highway 98 Byp, Columbia, MS 39429-3702 | 2012-08-06 |
| Find all providers in COLUMBIA | ||||
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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.