EDWIN J JACKSON JR. (NPI# 1972827335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972827335 |
| Entity Type | Individual |
| Full Name | EDWIN J JACKSON JR. |
| Credential | DO |
| Practice Address |
112 Hospital Ln Ste 303 Danville IN 46122 |
| Mailing Address |
112 Hospital Ln Ste 303 Danville IN 46122-1998 |
| Practice Telephone | 3177184000 |
| Practice Fax Number | 3177184005 |
| Mailing Telephone | 6142934925 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2018-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 34. 010939 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
02005444A | IN | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
34.010939 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0093373 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740294883 | Edwin Jackson | Psychiatry & Neurology | 4010 Central Ave, St Petersburg, FL 33711-1239 | 2006-07-27 |
| Street Address |
112 HOSPITAL LN STE 303 |
| City | DANVILLE |
| State | IN |
| Zip Code | 46122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437491974 | Donald Robert Westerhausen IIi | Internal Medicine | 112 Hospital Ln Ste 303, Danville, IN 46122-1998 | 2013-03-22 |
| 1407122740 | Sumit Rishi Chawla | Internal Medicine | 112 Hospital Ln Ste 303, Danville, IN 46122-1998 | 2012-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225520745 | Lilly Finley | Specialist/Technologist | 3571 N County Road 500 E, Danville, IN 46122 | 2018-05-31 |
| 1780180406 | Megan Marie Allison | Physician Assistant | 100 Hospital Ln Ste 105, Danville, IN 46122 | 2018-04-02 |
| 1255745709 | Nichole Louise Drilling | Physician Assistant | 1000 E. Main St., Danville, IN 46122 | 2014-06-12 |
| 1144424458 | Monet Williams Bowling | Surgery | 112 Hospital Ln Ste 100, Danville, IN 46122 | 2007-06-12 |
| 1205957685 | Tricia L Veach | Day Training/Habilitation Specialist | 1600 E Main St, Box 369 (po), Danville, IN 46122 | 2007-04-03 |
| 1699897645 | Jon Erickson | Dentist | 23 S County Road 200 East, Ste B, Danville, IN 46122 | 2007-04-03 |
| 1982721429 | Shiela M Balensiefer | Specialist | 1600 E Main Street, Danville, IN 46122 | 2007-03-22 |
| 1265514277 | Roberta Marie Gray | Registered Nurse | Hendricks Regional Health Partners In Care, 1000 E Main St, Danville, IN 46122 | 2006-10-19 |
| 1255427886 | John Kingsley Sparzo | Internal Medicine | 1000 E. Main St, Danville, IN 46122 | 2006-10-04 |
| 1184717720 | Roger Lee Phillips | Chiropractor | 6 Manor Drive, Danville, IN 46122 | 2006-10-02 |
| Find all providers in zip 46122 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891796983 | Eric L. Deweese | Internal Medicine | 112 Hospital Lane, Suite 303, Danville, IN 46122-1998 | 2005-08-10 |
| 1467452706 | Thomas J O Neill | Internal Medicine | 159 Executive Dr, Suite F, Danville, VA 24541-4160 | 2005-07-28 |
| 1245459353 | Lung Disease Specialists | Internal Medicine | 439 W Walnut St, Suite 201, Danville, KY 40422-1852 | 2007-04-25 |
| 1053324442 | Andrew Robbins | Internal Medicine | 1900 E Main St, Danville, IL 61832-5100 | 2006-08-15 |
| 1801827043 | Danville Pulmonary Clinic, Inc. | Internal Medicine | 159 Executive Dr, Suite F, Danville, VA 24541-4160 | 2006-07-05 |
| 1457303893 | Geisinger Clinic | Internal Medicine | 100 N Academy Ave, Danville, PA 17822 | 2006-05-16 |
| 1912962200 | Jonathan E Spahr | Internal Medicine | 100 North Academy Ave., Danville, PA 17822-1339 | 2006-04-19 |
| 1942262605 | Andrew P. Matragrano | Internal Medicine | 100 N Academy Ave, Danville, PA 17822-9800 | 2006-04-06 |
| 1134197197 | David E. Fisk | Internal Medicine | 100 N Academy Ave, Danville, PA 17822-1341 | 2006-03-08 |
| 1861468944 | Sean T. Devine | Internal Medicine | 100 N Academy Ave, Danville, PA 17822-2037 | 2006-02-27 |
| Find all providers in DANVILLE | ||||
Please comment or provide details below to improve the information on EDWIN J JACKSON JR..
| 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.