RICHARD TC JACKSON (NPI# 1932427218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932427218 |
| Entity Type | Individual |
| Full Name | RICHARD TC JACKSON |
| Credential | MD |
| Practice Address |
102 Park St Glens Falls Hospital Neurology Glens Falls NY 12801-4403 |
| Mailing Address |
Po Box 304 Adirondack Medical Services Glens Falls NY 12801-0304 |
| Practice Telephone | 5189262940 |
| Practice Fax Number | 5189262941 |
| Mailing Telephone | 5189266992 |
| Mailing Fax Number | 5189266983 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2020-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
E-12508 | AR | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
27116 | MS | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
52978 | TN | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
266931 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03767571 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1425 Portland Ave, Rochester, NY 146213011 | 5859224371 | 5859227485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629520770 | Richard Allen Jackson | Social Worker | 201 W Laurel St, Brainerd, MN 56401-3902 | 2016-10-25 |
| 1386924363 | Richard Ray Jackson | Social Worker | 104 S Ridge Ave, Troy, OH 45373-2704 | 2011-08-23 |
| 1124240197 | Richard Jackson | Psychologist | 2650 West 2700 South, Syracuse, UT 84075 | 2007-05-02 |
| 1508081993 | Richard Jackson | Psychiatry & Neurology | E 4111 Andover Road Suite 220, Bloomfield Hills, MI 48302 | 2007-04-13 |
| 1851478101 | Richard Jackson | Pharmacist | 420 Delaware St Se # Mmc812, Minneapolis, MN 55455-0341 | 2006-11-01 |
| 1972616134 | Richard Pharus Jackson | Optometrist | 216 W Washington St, Anthony, TX 79821-9304 | 2006-08-15 |
| 1801810163 | Richard Edwin Jackson | Dentist | 109 Timbermill Dr, Lexington, SC 29073-7138 | 2006-07-27 |
| 1366483406 | Richard D Jackson | Family Medicine | 29 Eastbrook Rd, Ronks, PA 17572-9769 | 2006-06-09 |
| 1659328060 | Richard Jackson | Emergency Medicine | 505 Regency Xing, Southlake, TX 76092-9501 | 2006-05-30 |
| 1174587505 | Richard E Jackson | Physician Assistant | 21260 Olean Blvd Ste 200, Port Charlotte, FL 33952-6742 | 2006-04-13 |
| Street Address |
102 PARK ST GLENS FALLS HOSPITAL NEUROLOGY |
| City | GLENS FALLS |
| State | NY |
| Zip Code | 12801-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902894009 | Gerard Andrew Florio | Psychologist | 102 Park St, Cr Wood Cancer Center, Glens Falls, NY 12801-4403 | 2005-10-12 |
| 1134675556 | Glens Falls Hospital Inc. | Psychiatry & Neurology | 102 Park St, Glens Falls, NY 12801-4403 | 2016-08-26 |
| 1497107478 | Rebecca A Freligh | Registered Nurse | 102 Park St, Glens Falls, NY 12801-4403 | 2016-07-01 |
| 1598122988 | Glens Falls Hospital Inc. | Orthopaedic Surgery | 102 Park St, Glens Falls, NY 12801-4403 | 2016-01-15 |
| 1669864716 | Julie Eileen Mosher | Registered Nurse | 102 Park St, 3rd Floor, Pruyn Pavilion, Glens Falls, NY 12801-4403 | 2015-02-26 |
| 1871839035 | Nikole L Slowick | Physician Assistant | 102 Park St, Cr Wood Cancer Center, Glens Falls, NY 12801 | 2012-12-17 |
| 1679821110 | Glens Falls Hospital Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 102 Park St, Center for Chest & Lung Surgery, Glens Falls, NY 12801-4403 | 2012-08-15 |
| 1629324546 | Umbreen Arshad Rozell | Internal Medicine | 102 Park St, Glens Falls, NY 12801-4403 | 2012-07-29 |
| 1144582362 | Adirondack Radiology Associates, PC | Radiology | 102 Park St, Glens Falls, NY 12801-4403 | 2012-06-13 |
| 1750668620 | Elizabeth Rose Reinhardt | Physician Assistant | 102 Park St, Glens Falls, NY 12801-4403 | 2011-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549399 | Upstate Vision Care, Pllc | Technician/Technologist | 206 Glen St. Suite 31b, Colvin Building, Glens Falls, NY 12801 | 2018-12-06 |
| 1043737356 | Tiffany Britt | Social Worker | 43 Kensington Rd, Glens Falls, NY 12801 | 2017-08-28 |
| 1922375922 | Kathleen A Callaghan | Registered Nurse | 43 Kensington Road, Glens Falls, NY 12801 | 2011-11-19 |
| 1043595531 | Nancy K. Carroll | Social Worker | 37 Broad St., Glens Falls, NY 12801 | 2011-10-15 |
| 1992027528 | Benjamin Alan Rametta | Pharmacist | 202 Broad Street, Walgreens, Glens Falls, NY 12801 | 2010-02-23 |
| 1194052563 | Angela M Lalla | Audiologist | 318 Ridge Street, Glens Sallas, NY 12801 | 2009-11-05 |
| 1407018591 | Marilyn J Bryan | Counselor | 4 Technical Park, Suite #3, #6, Glens Falls, NY 12801 | 2008-06-30 |
| 1104087667 | Chase Chiropractic LLC | Chiropractor | 17 Pine St. 1 Irongate Center, Suite 3, Glens Falls, NY 12801 | 2008-06-18 |
| 1619183571 | Glens Falls Crossings LLC | Skilled Nursing Facility | 170 Warren Street, Glens Falls, NY 12801 | 2007-05-15 |
| 1417099706 | Patricia Ann Cameron | Psychologist | 464 Glen Street, Glens Falls, NY 12801 | 2007-02-13 |
| Find all providers in zip 12801 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235223793 | Thomas Ingalls Soule | Psychiatry & Neurology | 454 Glen Street, Glens Falls, NY 12801 | 2006-10-02 |
| 1134675556 | Glens Falls Hospital Inc. | Psychiatry & Neurology | 102 Park St, Glens Falls, NY 12801-4403 | 2016-08-26 |
| 1104910736 | Vinodrai Motilal Parmar | Psychiatry & Neurology | 420 Glen St, Glens Falls, NY 12801-2929 | 2006-10-03 |
| 1285727792 | Michael William Lenihan | Psychiatry & Neurology | 420 Glen St, Glens Falls, NY 12801-2929 | 2006-10-02 |
| 1861585549 | Adirondack Neurology Associates, PC | Psychiatry & Neurology | 420 Glen St, Glens Falls, NY 12801-2929 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638275 | Oversight Physician Services Pllc | Psychiatry & Neurology | 198 Sussex Dr, Manhasset, NY 11030-3737 | 2020-08-04 |
| 1841818234 | Padmaja Aradhya Md Pllc | Psychiatry & Neurology | 17 Dillon Dr, Dix Hills, NY 11746-7945 | 2020-07-11 |
| 1184279085 | All Island Neurology PC | Psychiatry & Neurology | 11617 Atlantic Ave, Richmond Hill, NY 11418-3141 | 2019-08-07 |
| 1346802352 | Ny Neurology Medicine PC | Psychiatry & Neurology | 305 7th Ave Rm 13c, New York, NY 10001-6155 | 2019-07-01 |
| 1770144636 | Upstate Neurology P.C. | Psychiatry & Neurology | 804 Syska Rd, Ossining, NY 10562-1424 | 2019-06-21 |
| 1659836518 | David T Finkelstein | Psychiatry & Neurology | 3619 Bedford Ave Apt 1b, Brooklyn, NY 11210-5254 | 2019-02-05 |
| 1801360029 | Ghassan George Haddad | Psychiatry & Neurology | 20 Waterside Plz Apt 26e, New York, NY 10010-2665 | 2019-01-22 |
| 1427527472 | Daniel Ahoubim Md PC | Psychiatry & Neurology | 37 W 26th St Rm 204, New York, NY 10010-1145 | 2018-11-20 |
| 1053889378 | Paul Wright, M.d. | Psychiatry & Neurology | 500 N Broadway Ste 16, Jericho, NY 11753-2127 | 2018-11-05 |
| 1770096109 | Wpw Medical, Pllc | Psychiatry & Neurology | 280 Dobbs Ferry Rd Ste 206, White Plains, NY 10607-1912 | 2017-11-07 |
| Find all providers with the same taxonomy | ||||
| City | GLENS FALLS |
| Zip Code | 12801 |
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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.