GEORGE JACKSON (NPI# 1932320124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932320124 |
| Entity Type | Individual |
| Full Name | GEORGE JACKSON |
| Other Name | GEORGE JACKSON |
| Credential | TECHNOLOGIST |
| Practice Address |
130 West Kingsbridge Road Bronx V.a. Medical Center Bronx NY 10468-3904 |
| Mailing Address |
645 Decatur Street Brooklyn NY 11233 |
| Practice Telephone | 7185849000 |
| Mailing Telephone | 7184430204 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QH0000X |
Spec/Tech, Pathology Specialization: Hematology |
NONE | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659755486 | George Jackson | Ophthalmology | 5000 Se Burning Tree Cir, Stuart, FL 34997-8701 | 2015-07-10 |
| 1720386089 | George Anthony Jackson | Pharmacist | 1333 5th Ave, Garner, NC 27529-3637 | 2011-03-09 |
| 1295987568 | George F. Jackson Jr. | Dentist | 1000 N Main St Ste 5, Lansing, KS 66043-1315 | 2008-10-17 |
| 1497824304 | George Woody Jackson | Internal Medicine | 1440 Highway 62 412, Highland, AR 72542-9497 | 2006-11-06 |
| 1770517666 | George M Jackson | Emergency Medicine | 1030 Nevin Ave, Richmond, CA 94801-3122 | 2006-07-10 |
| 1124369863 | George Hagan Jackson | Psychiatry & Neurology | 5231 Hickory Park Dr, Suite D, Glen Allen, VA 23059-2619 | 2013-03-05 |
| 1578777876 | George Darryl Jackson | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30045-8444 | 2007-05-09 |
| 1477690089 | George Thomas Jackson Jr. | Nurse Anesthetist, Certified Registered | 244 Smith Church Rd, Roanoke Rapids, NC 27870-4956 | 2007-01-31 |
| 1932245032 | George F. Jackson IIi | Psychiatry & Neurology | 5909 Orchard St W, Tacoma, WA 98467-3824 | 2007-01-29 |
| 1689690539 | George Robert Jackson | Psychiatry & Neurology | 300 Medical Plaza, #b200, Los Angeles, CA 90095-0001 | 2006-07-14 |
| Street Address |
130 WEST KINGSBRIDGE ROAD BRONX V.A. MEDICAL CENTER |
| City | BRONX |
| State | NY |
| Zip Code | 10468-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497775118 | Faina A. Smekuna | Family Medicine | 130 West Kingsbridge Road, Bronx Va Medical Center, Bronx, NY 10468 | 2006-07-19 |
| 1932637584 | Milos Obradovic | Student in an Organized Health Care Education/Training Program | 130 West Kingsbridge Road, Bronx, NY 10468 | 2017-05-26 |
| 1578928180 | Oladayo Oyedele Judd | Nurse Practitioner | 130 West Kingsbridge Road, Rehab Medicine, Bronx, NY 10468-1046 | 2015-12-24 |
| 1700263035 | Jennifer Lynne Larmour | Nurse Practitioner | 130 West Kingsbridge Road, Department of Veterans Affairs, Va Medical Center, Bronx, NY 10468 | 2015-05-06 |
| 1235552902 | Annith Sinclair | Registered Nurse | 130 West Kingsbridge Road, Bronx, NY 10468 | 2014-01-30 |
| 1649599077 | Lara M. Degen | Psychologist | 130 West Kingsbridge Road, Bronx, NY 10468 | 2010-05-25 |
| 1225350408 | Bela Marina Costa | Physical Therapy Assistant | 130 West Kingsbridge Road, 3d 21, Bronx, NY 10468 | 2010-02-16 |
| 1053597781 | Cara Marie Romano | Student in an Organized Health Care Education/Training Program | 130 West Kingsbridge Road, James J. Peters Va Medical Center, Bronx, NY 10468 | 2008-01-11 |
| 1194807107 | Marwa Khalifa | Pharmacist | 130 West Kingsbridge Road, Bronx, NY 10468 | 2006-10-19 |
| 1912094608 | Jessica Rhee | Pharmacist | 130 West Kingsbridge Road, James J. Peters Veterans Affa, Bronx, NY 10468 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623776 | Michalis Georgiou | Student in an Organized Health Care Education/Training Program | 130 W. Kongsbridge Road James J. Petters Vamc, Room: 7a-11, Bronx, NY 10468 | 2020-06-08 |
| 1184248072 | Sindhuja Dogga | Student in an Organized Health Care Education/Training Program | James J Peters Vamc, 130 W Kingsbridge Road, Bronx, NY 10468 | 2020-06-05 |
| 1154945434 | Ambreen Shahzadi | Student in an Organized Health Care Education/Training Program | James J. Peters Vamc, 130 W. Kingsbridge Road (111) Room No. 7a-11, Bronx, NY 10468 | 2020-06-03 |
| 1912521550 | Zara Idrees | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Road Room No: 7a-11, Internal Medicin, Bronx, NY 10468 | 2020-05-29 |
| 1710531256 | Ana Samely Maria | Registered Nurse | 2525 Aqueduct Ave B3, Bronx, NY 10468 | 2019-08-01 |
| 1114496007 | Rachel A Squillante | Speech-Language Pathologist | 2280 Aqueduct Avenue, Bronx, NY 10468 | 2018-11-20 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1811473721 | Okyeniba Medical PC | Pediatrics | 58 East Kingsbridge Road, Bronx, NY 10468 | 2018-07-13 |
| 1417446840 | Amina Khalid | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd., Bronx, NY 10468 | 2018-05-01 |
| Find all providers in zip 10468 | ||||
| Taxonomy Code | 246QH0000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Hematology |
| Definition to come... |
Please comment or provide details below to improve the information on GEORGE JACKSON.
| 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.