DR. JESSICA JACKSON


Address: 178 N Ewing Ave, Louisville, KY 40206-2459
Phone: 5025543792

DR. JESSICA JACKSON (NPI# 1912947631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912947631
Entity Type Individual
Full Name DR. JESSICA JACKSON
Credential DPM
Practice Address 178 N Ewing Ave
Louisville
KY 40206-2459
Mailing Address 6200 Pleasant Ave
Suite 3
Fairfield
OH 45014-4670
Practice Telephone 5025543792
Mailing Telephone 5138299333
Mailing Fax Number 5138587827
Enumeration Date 2006-06-08
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 00242 KY Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200279930 05
KY 80002421 05
KY RAILROAD MEDICARE P00696482 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
15014 Bircham Rd, Louisville, KY 402454104 5025580194

Other Providers JESSICA JACKSON

NPI Name Taxonomy Address Enumeration
1437759594 Jessica Ashley Jackson Social Worker 310 W Mckinley Ave, Mishawaka, IN 46545-5600 2020-10-28
1396387361 Jessica Leeann Jackson In Home Supportive Care 2643 Portsmouth Pl, Hephzibah, GA 30815-6434 2019-10-11
1720638018 Jessica Jackson Registered Nurse 1600 Pine Tree Rd Apt 415, Longview, TX 75604-3244 2019-09-18
1386106326 Jessica Marie Jackson Specialist/Technologist 120 Main St Apt 217, Saco, ME 04072-3528 2019-04-01
1205335916 Jessica Berdette Jackson Licensed Practical Nurse 376 Owego Rd, Candor, NY 13743-1645 2018-02-08
1023553187 Jessica Elise Jackson Physician Assistant 2109 S Santa Fe Ave, Moore, OK 73160-2807 2016-12-28
1982151130 Jessica Jackson Licensed Practical Nurse 25 Green Knolls Dr Apt D, Rochester, NY 14620-4777 2016-09-06
1770940975 Jessica Jackson Technician, Other 24024 Evergreen Rd Apt 108a, Southfield, MI 48075-5517 2016-01-20
1710344007 Jessica Jackson Social Worker 4 Tufts Trl, Hopatcong, NJ 07843-1013 2016-01-18
1336572726 Jessica L Jackson Health Educator 492 Naughright Rd, Long Valley, NJ 07853-3807 2013-08-20

Office Location

Street Address 178 N EWING AVE
City LOUISVILLE
State KY
Zip Code 40206-2459

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013438746 Andrew R Bouwkamp Podiatrist 178 N Ewing Ave, Louisville, KY 40206-2459 2017-07-03
1811348808 Bryant Allen Nachtigall Podiatrist 178 N Ewing Ave, Louisville, KY 40206-2459 2016-06-30
1720477672 Bluegrass Podiatric Management LLC Podiatrist 178 N Ewing Ave, Louisville, KY 40206-2459 2015-01-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285243477 Stephanie Atherton Nurse Practitioner 1623 Story Ave, Louisville, KY 40206 2020-07-24
1023547460 Jeffrey Obiora Student in an Organized Health Care Education/Training Program 500 South Preston St, Room 305, Lousiville, KY 40206 2017-06-08
1053840710 Mary Oliver Humke Lactation Consultant, Non-RN 155 N Galt Ave, Louisville, KY 40206 2017-06-07
1417304908 James Edward Meffert Sr. Dentist 1618 Story Ave. (home/office Setting), Louisville, KY 40206 2016-05-16
1235516527 Jara Nashelle Vega Velez Internal Medicine 800 Zorn Ave Dept Of, Louisville, KY 40206 2015-05-06
1184058885 Reba D Ziller Occupational Therapist 4604 Lowe Road, Regis Woods Rehab Center, Louisville, KY 40206 2013-08-29
1407109176 Jessica L Hoback Physical Therapy Assistant 2141 Sycamore Avenue, Louisville, KY 40206 2012-10-18
1598039315 Mary Barbara Sowers Emergency Medicine 611 Emery Rd, Louisville, KY 40206 2012-02-24
1053628479 Adrian J Pellegrini Md Nurse Practitioner 170 Crescent Ave, Louisville, KY 40206 2010-09-07
1518297761 Kiley Nontell Mcneill Behavioral Analyst 1100 East Market St., Louisville, KY 40206 2010-01-12
Find all providers in zip 40206

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578112983 Peter Cunningham Podiatrist 1 Audubon Plaza Dr Ofc L2, Louisville, KY 40217-1318 2019-09-09
1447787676 Jenna Vaught LLC Podiatrist 3407 Kerry Dr, Louisville, KY 40218-2131 2017-05-18
1083907471 Larry K Ketcherside Podiatrist 9110 Leesgate Rd, Louisville, KY 40222-5053 2011-05-18
1558516054 Jessica S Jackson Dpm Pllc Podiatrist 15014 Bircham Rd, Louisville, KY 40245-4104 2008-11-25
1568625903 Janine A. Valentino Podiatrist 9880 Angies Way Suite 110, Louisville, KY 40241-2943 2008-07-07
1205055332 Achillies Foot and Ankle Center Inc Podiatrist 317 B Gutherie Green, Louisville, KY 40202 2007-04-25
1932277274 John M Miller Podiatrist 335 W South Boulder Road, Suite 5, Louisville, CO 80027-1192 2006-12-04
1366542748 Steven Richard Shlonsky Podiatrist 149 Thierman Lane, Louisville, KY 40207 2006-09-25
1841397320 Family Foot and Ankle Care Pllc Podiatrist 130 N Evergreen Rd, Suite 102, Louisville, KY 40243-1489 2006-09-19
1497772255 Jeffrey Kenneth Marzian Podiatrist 3403 Gatecreek Rd, Louisville, KY 40272-2687 2006-07-17
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40206

Improve Information

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Dataset Information

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.

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