MR. RICHARD ALLEN JACKSON (NPI# 1952386690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952386690 |
| Entity Type | Individual |
| Full Name | MR. RICHARD ALLEN JACKSON |
| Credential | HS |
| Practice Address |
Kaehler Memorial Medical Clinic Us Coast Guard Otis Angb MA 02542 |
| Mailing Address |
5690 Peets St Otis Angb MA 02542-1030 |
| Practice Telephone | 5089686713 |
| Mailing Telephone | 5035046492 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 146N00000X | Emergency Medical Technician, Basic | B0415118 | CA | Emergency Medical Service Providers |
| X | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| 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 |
KAEHLER MEMORIAL MEDICAL CLINIC US COAST GUARD |
| City | OTIS ANGB |
| State | MA |
| Zip Code | 02542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205957982 | Uscg | Clinic/Center | 5439 A Lemay Ave., Buzzards Bay, MA 02542 | 2007-04-02 |
| 1487744660 | Adam Lee Barton | Spec/Tech, Pathology | 5648c Doolittle Ave, Buzzards Bay, MA 02542 | 2006-10-16 |
| 1104802669 | Stephen Corey Bond | Emergency Medical Technician, Basic | 5201 Lee Rd., Uscg Kaehler Memorial Medical Clinic, Buzzards Bay, MA 02542 | 2005-12-16 |
| 1033195599 | John D Hughes | Technician, Other | U.S. Coast Guard Kaehler Memorial Medical Clinic, Lee Rd. Bldg 5201, Bourne, MA 02542 | 2005-12-16 |
| 1417932997 | Michael Anthony Carr | Physician Assistant | 5201 Lee Road, Uscg Air Station Cape Cod-kaehler Memorial Med Clinic, Buzzards Bay, MA 02542 | 2005-12-07 |
| 1295711752 | Wayne Lee Burton | Technician, Other | 5201 Lee Rd, Khealer Clinic, Buzzards Bay, MA 02542 | 2005-12-16 |
| 1992780639 | Perry James Kremer | Physician Assistant | 5201 Lee Rd, Kaehler Memorial Medical Clinic, Buzzards Bay, MA 02542 | 2005-12-14 |
| 1487639506 | Uscg Airstation Cape Cod | Clinic/Center | 5201 Lee Rd, Buzzards Bay, MA 02542-1313 | 2005-12-13 |
| 1023296597 | United Stated Coast Guard | Clinic/Center | 5201 Lee Rd, Buzzards Bay, MA 02542-1313 | 2008-02-06 |
| 1780803510 | Wyatt Kyle Lunden Helley | Technician, Other | 5201 Lee Rd, Buzzards Bay, MA 02542-1313 | 2007-04-24 |
| Find all providers in zip 02542 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368361 | Daniel A Garcia | Emergency Medical Technician, Basic | 53 Quebec St, Devens, MA 01434-4424 | 2020-05-25 |
| 1952923229 | Manpreet Kaur | Emergency Medical Technician, Basic | 27 Jackson Rd Ste 302, Devens, MA 01434-4037 | 2020-05-10 |
| 1881221927 | Charleson Roberts | Emergency Medical Technician, Basic | 640 State Rd, Dartmouth, MA 02747-1808 | 2020-03-26 |
| 1316596174 | Christopher Eugene Brown | Emergency Medical Technician, Basic | 141 Metcalf Rd, North Attleboro, MA 02760-2139 | 2019-09-05 |
| 1679078232 | Andrew Paul Macedo | Emergency Medical Technician, Basic | 80 Alpha Street, Dartmouth, MA 02747 | 2018-03-27 |
| 1821598152 | Max Sharin | Emergency Medical Technician, Basic | 33 Francis Cir, Stow, MA 01775-1415 | 2018-02-13 |
| 1891235990 | Scott Delaney | Emergency Medical Technician, Basic | 39 Barrows St, Norton, MA 02766-3121 | 2017-03-08 |
| 1366891418 | Craig Judson Nally | Emergency Medical Technician, Basic | 7 Bailey St, Foxboro, MA 02035-2836 | 2016-06-09 |
| 1184089856 | Benjamin T Jen | Emergency Medical Technician, Basic | 133 Clarendon St, Unit 171471, Boston, MA 02116-5132 | 2015-12-23 |
| 1003204728 | Taylor Murray | Emergency Medical Technician, Basic | 40 County Rd, Mashpee, MA 02649-6001 | 2015-01-05 |
| Find all providers with the same taxonomy | ||||
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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.