DR. ROBERT FRANKLIN JACKSON II (NPI# 1982654828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982654828 |
| Entity Type | Individual |
| Full Name | DR. ROBERT FRANKLIN JACKSON II |
| Credential | D.O. |
| Practice Address |
1721 Magnavox Way Fort Wayne IN 46804-1537 |
| Mailing Address |
Po Box 670 Huntertown IN 46748-0670 |
| Practice Telephone | 2607483650 |
| Practice Fax Number | 2607483651 |
| Mailing Telephone | 2607483650 |
| Mailing Fax Number | 2607483651 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 02001273A | IN | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 02001273 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | DME | 0426440001 | 01 |
| IN | 100352280 | 05 | |
| IN | LICENSE | 02001273 | 01 |
| IN | ANTHEM BCBS | 000000082970 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1314 E 7th St Ste 201, Auburn, IN 467062533 | 2607483650 | 2607483651 |
| 2124 N Biomet Dr, Warsaw, IN 465827858 | 2607483650 | 2607483651 |
| 2716 S Western Ave Ste D, Marion, IN 469533575 | 2607483650 | 2607483651 |
| 6811 Lima Rd, Fort Wayne, IN 468181145 | 2607483650 | 2607483651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701487 | Robert Jackson | Physical Therapist | 3056 Healthy Way Ste 116, Birmingham, AL 35243-2435 | 2019-10-11 |
| 1881003655 | Robert Donald Jackson | Social Worker | 151 Knollcroft Rd # 116d, Lyons, NJ 07939-5001 | 2014-08-06 |
| 1780005496 | Robert Earl Jackson Jr. | Community Health Worker | 17 Wickham Dr, Columbus, GA 31907-6328 | 2013-12-23 |
| 1073942371 | Robert Jackson | Massage Therapist | 502 11th St Se, Decatur, AL 35601-4908 | 2013-11-06 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1457515330 | Robert Anthony Jackson | Dentist | 2816 Veach Rd., Unit 305, Owensboro, KY 42303 | 2008-07-10 |
| 1437357399 | Robert D Jackson | Counselor | 5525 Erindale Dr Ste 112, Colorado Springs, CO 80918-6960 | 2007-07-03 |
| 1174736029 | Robert Allan Jackson | Physician Assistant | 2109 Brookview Ter Apt B, Pekin, IL 61554-7320 | 2007-05-08 |
| 1144389347 | Robert W Jackson | Dentist | 209 Mimosa Dr, Thomasville, GA 31792-6633 | 2006-12-06 |
| 1144305152 | Robert Eric Jackson | Internal Medicine | 291 Indian Lake Blvd, Hendersonville, TN 37075-3653 | 2006-10-26 |
| Street Address |
1721 MAGNAVOX WAY |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144215153 | Mark A Fisher | Physician Assistant | 1721 Magnavox Way, Fort Wayne, IN 46804-1537 | 2005-09-15 |
| 1750991147 | Coffman Anesthesiology LLC | Anesthesiology | 1721 Magnavox Way, Fort Wayne, IN 46804-1537 | 2020-07-31 |
| 1821606500 | Makayla Lawson | Nurse Practitioner | 1721 Magnavox Way, Fort Wayne, IN 46804-1537 | 2020-07-17 |
| 1780218115 | Surgery Center of Fort Wayne | Clinic/Center | 1721 Magnavox Way, Fort Wayne, IN 46804-1537 | 2020-02-25 |
| 1689216442 | Karmen Wilson | Registered Nurse | 1721 Magnavox Way, Fort Wayne, IN 46804-1537 | 2019-10-14 |
| 1295207488 | Lacey Michelle Harvey | Physician Assistant | 1721 Magnavox Way, Fort Wayne, IN 46804-1537 | 2018-12-28 |
| 1982061701 | Jonathan Notelle | Registered Nurse | 1721 Magnavox Way, Fort Wayne, IN 46804-1537 | 2016-01-25 |
| 1548696206 | Thomas A. Straub | Physician Assistant | 1721 Magnavox Way, Fort Wayne, IN 46804-1537 | 2013-09-25 |
| 1679909931 | Jason T. Gaisford | Physician Assistant | 1721 Magnavox Way, Fort Wayne, IN 46804-1537 | 2013-09-18 |
| 1861687923 | Daniel Christopher Roth | Physical Medicine & Rehabilitation | 1721 Magnavox Way, Fort Wayne, IN 46804-1537 | 2007-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861774838 | Paul Arthur Reszel | Orthopaedic Surgery | 1618 Autumn Run, Fort Wayne, IN 46845-8884 | 2011-09-15 |
| 1073505301 | William H Couch | Orthopaedic Surgery | 5050 N Clinton Street, Fort Wayne, IN 46825 | 2005-08-23 |
| 1366445421 | Ronald G Caldwell | Orthopaedic Surgery | 413 E Jefferson Blvd, Matthew 25 Health and Dental Clinic, Fort Wayne, IN 46802-3201 | 2005-05-23 |
| 1255750352 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 800 Broadway, Ste 215, Fort Wayne, IN 46802-2149 | 2014-04-16 |
| 1649534256 | James Michael Danias | Orthopaedic Surgery | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2012-06-28 |
| 1326311481 | Phillip Craig Penny I | Orthopaedic Surgery | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2012-02-20 |
| 1427345982 | Christopher N Johnson | Orthopaedic Surgery | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2011-07-06 |
| 1043506694 | John Paul Magno Manalo | Orthopaedic Surgery | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2011-06-22 |
| 1487959649 | Kevin John Leffers | Orthopaedic Surgery | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2011-01-20 |
| 1871808923 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 2512 E Dupont Rd, Suite 110, Fort Wayne, IN 46825-1609 | 2010-08-13 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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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.