J. DON JACKSON JR, MD, PA (NPI# 1922150663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922150663 |
| Entity Type | Organization |
| Organization Name | J. DON JACKSON JR, MD, PA |
| Other Organization Name | ADVANCED SURGERY |
| Practice Address |
300 Willow Creek Pkwy Suite 200 A Palestine TX 75801-4421 |
| Mailing Address |
P O Box 817 Palestine TX 75802 |
| Practice Telephone | 9037238210 |
| Practice Fax Number | 9037238310 |
| Mailing Telephone | 9037238210 |
| Mailing Fax Number | 9037238310 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2010-10-04 |
| Authorized Official Name | DR. JAMES DON JACKSON JR. (PHYSICIAN) |
| Authorized Official Telephone | 9037238210 |
| Authorized Official Credential | MD, PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 178962001 | 05 |
| Other Name | Type Code |
|---|---|
| ADVANCED SURGERY | Other Name - Individual/Organization |
| Street Address |
300 WILLOW CREEK PKWY SUITE 200 A |
| City | PALESTINE |
| State | TX |
| Zip Code | 75801-4421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942209606 | Home Care Network East, Inc | Home Health | 300 Willow Creek Pkwy, 240, Palestine, TX 75801-4421 | 2005-07-15 |
| 1942689880 | Asha Kancharla Md Pa | Anesthesiology | 300 Willow Creek Pkwy, Palestine, TX 75801-4421 | 2015-05-26 |
| 1194145821 | Clifton Fincher | Nurse Anesthetist, Certified Registered | 300 Willow Creek Pkwy, Suite 130, Palestine, TX 75801-4421 | 2014-04-21 |
| 1699006254 | Willow Creek Surgery Center Lp | Clinic/Center | 300 Willow Creek Pkwy, Suite 100, Palestine, TX 75801-4389 | 2010-01-21 |
| 1821283441 | Brad A. Brazeal Md Pa | Psychiatry & Neurology | 300 Willow Creek Pkwy, Ste 210, Palestine, TX 75801-4421 | 2007-09-06 |
| 1730128661 | Sarah J Ramsay | Anesthesiology | 300 Willow Creek Pkwy, Palestine, TX 75801-4421 | 2006-06-06 |
| 1225012271 | Asha Kancharla | Anesthesiology | 300 Willow Creek Pkwy, Suite 210a, Palestine, TX 75801-4389 | 2005-12-02 |
| 1265415640 | Brad A Brazeal | Psychiatry & Neurology | 300 Willow Creek Pkwy, Ste 210, Palestine, TX 75801-4389 | 2005-11-21 |
| 1013905900 | Pain Management Associates of East Texas, Pa | Anesthesiology | 300 Willow Creek Pkwy, Suite 130, Palestine, TX 75801-4421 | 2005-10-13 |
| 1447248448 | Ronnie Todd Robinson | Nurse Anesthetist, Certified Registered | 300 Willow Creek Pkwy, Suite 130, Palestine, TX 75801-4421 | 2005-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095113 | Savannah Lee Brumley | Speech-Language Pathologist | 550 Anderson County Road 160, Palestine, TX 75801 | 2020-05-19 |
| 1154964997 | Holly Studdard | Massage Therapist | 479 Acr 3971, Palestine, TX 75801 | 2019-10-24 |
| 1174096093 | Lisa Ann Tuley | Social Worker | 2001 Acr 156 #9, Palestine, TX 75801 | 2019-01-03 |
| 1194253955 | Scion Management Group Inc. | Durable Medical Equipment & Medical Supplies | 2256 S Sycamore St Ste 1, Palestine, TX 75801 | 2017-05-24 |
| 1225565013 | Blessed Beginnings Birth Center | Midwife | 3950 S. Hwy 19, Palestine, TX 75801 | 2017-05-11 |
| 1487060711 | Prakash Gadhiya | Dentist | 419 Old Elkhart Rd., Palestine, TX 75801 | 2014-07-08 |
| 1821428640 | Deonna Michelle Bynum | Nurse Practitioner | 126 Medical Drive, Suite B, Palestine, TX 75801 | 2013-11-14 |
| 1811249253 | Michael G. Key D.c. PC | Chiropractor | 2803 W. Oak Street, Palestine, TX 75801 | 2012-10-10 |
| 1740447747 | Andre Thomas | Orthopaedic Surgery | 4002 Loop 256, Suite G, Palestine, TX 75801 | 2008-05-19 |
| 1609055631 | Kathie S Carrier&medical Transport Dba | Non-emergency Medical Transport (VAN) | 1965 Anderson County Road 2101, Palestine, TX 75801 | 2007-10-26 |
| Find all providers in zip 75801 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699051490 | Ken Kuykendall | Surgery | 2201 Melissa Dr, Palestine, TX 75803-8596 | 2011-10-25 |
| 1841296712 | James Don Jackson Jr. | Surgery | 4002 S Loop 256, Ste. F, Palestine, TX 75801-8491 | 2005-06-24 |
| 1669608659 | Ro-jon Allen Grogans | Surgery | 126 Medical Dr, Palestine, TX 75801-8506 | 2009-06-03 |
| 1487773859 | Nandan Kumar Puvvada | Surgery | 4002 S Loop 256, Suite L, Palestine, TX 75801-8491 | 2007-03-28 |
| 1487784690 | Robert J. Falconer, Md, Pa | Surgery | 123 Medical Dr, Suite A, Palestine, TX 75801-8510 | 2007-03-06 |
| 1083797823 | Nandan K Puvvada | Surgery | 4002 S Loop 256, Suite L, Palestine, TX 75801-8403 | 2006-10-23 |
| 1235193848 | Robert J Falconer | Surgery | 123 Medical Dr, Suite A, Palestine, TX 75801-8510 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972110971 | Metroplex Surgical Institute Pllc | Surgery | 2937 Lago Vista Ln, Rockwall, TX 75032-5466 | 2020-09-24 |
| 1881209708 | Preva Surgical Partners Cypress LLC | Surgery | 13114 Fm 1960 Rd W Ste 118, Houston, TX 77065-5590 | 2020-09-09 |
| 1063021749 | Brooke Nicole Harris | Surgery | 355 E Vista Ridge Mall Dr Apt 4933, Lewisville, TX 75067-4024 | 2020-07-28 |
| 1609484872 | Deepak Dev Vivekanandan | Surgery | 7703 Floyd Curl Dr # Mc-7742, San Antonio, TX 78229-3901 | 2020-07-14 |
| 1760009195 | Tomball Surgical Assistant Service LLC | Surgery | 18220 Tomball Pkwy # 249, Houston, TX 77070-4347 | 2020-07-01 |
| 1174147086 | North Texas General Surgery Pllc | Surgery | 1600 Coit Rd Ste 207, Plano, TX 75075-6172 | 2020-06-05 |
| 1619591690 | Expert Surgical, Pllc | Surgery | 3537 S I 35 E Ste 200, Denton, TX 76210-6814 | 2020-06-04 |
| 1831712314 | Merten Gene Pearson | Surgery | 7306 Sw 34th Ave Ste 6, Amarillo, TX 79121-1446 | 2020-05-19 |
| 1558983098 | Aleshia Yvette Toler-levi | Surgery | 405 Schley Ave, Orange, TX 77630-3503 | 2020-05-06 |
| 1508487570 | Somkenechi Ijeoma Ajene | Surgery | 301 University Boulevard, 6.136-b John Sealy Annex, Galveston, TX 77555-0534 | 2020-05-01 |
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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.