MARTIN JACKSON DPM PSC (NPI# 1992003016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992003016 |
| Entity Type | Organization |
| Organization Name | MARTIN JACKSON DPM PSC |
| Practice Address |
1675 Republic Pkwy Ste 101 Mesquite TX 75150-6902 |
| Mailing Address |
Po Box 797512 Dallas TX 75379-7512 |
| Practice Telephone | 2144788483 |
| Practice Fax Number | 7149037801 |
| Mailing Telephone | 2144788483 |
| Mailing Fax Number | 7149037801 |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |
| Authorized Official Name | MARTIN JACKSON (OWNER) |
| Authorized Official Telephone | 2144788483 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1239 | TX | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548564305 | Martin Jackson Dpm Psc | Podiatrist | 9300 Lakeview Pkwy, Rowlett, TX 75088-4476 | 2011-01-07 |
| Street Address |
1675 REPUBLIC PKWY STE 101 |
| City | MESQUITE |
| State | TX |
| Zip Code | 75150-6902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407410509 | Interventional Partners, LLC | Podiatrist | 1675 Republic Pkwy Ste 101, Mesquite, TX 75150-6902 | 2019-04-24 |
| 1760968358 | Paul Britt | Chiropractor | 1675 Republic Pkwy Ste 101, Mesquite, TX 75150-6902 | 2018-07-17 |
| 1811424708 | Krystal Family Clinic LLC | Nurse Practitioner | 1675 Republic Pkwy Ste 101, Mesquite, TX 75150-6902 | 2017-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124630991 | Affordable Home Health Care | Home Health | 3637 E. Us. Highway 80, Mesquite, TX 75150 | 2020-08-21 |
| 1245840933 | Shanikqu Lashun George | Specialist | 1515 N. Towneast Blvd., Suite 19, Mesquite, TX 75150 | 2020-08-06 |
| 1578109542 | Phyllis Renee Cephas | Counselor | 2200 N. Belt Line Road, #728, Mesquite, TX 75150 | 2019-11-25 |
| 1033766068 | Darryl E Richmond Jr. | Physical Therapist | 2578 N Galloway Ave, 100, Mesquite, TX 75150 | 2019-08-23 |
| 1922666916 | Jd Mesquite Dental Pllc | Dentist | 909 Tripp Rd Ste 190, Mesquite, TX 75150 | 2019-06-04 |
| 1134681349 | Champions Rehabilitation, LLC | Clinic/Center | 1675 Republic Parkway Suite 201, Mesquite, TX 75150 | 2019-04-05 |
| 1205317351 | Sheila Katherine Bartley | Occupational Therapist | 3617 O'hare Dr., Mesquite, TX 75150 | 2018-08-27 |
| 1295215028 | Amanda Greene | Occupational Therapy Assistant | 3617 Ohare Drive, Mequite, TX 75150 | 2018-08-21 |
| 1053890244 | Barbara Mohrle | Occupational Therapist | 2231 Us Highway 80e, Willow Bend Nursing and Rehab, Mesquite, TX 75150 | 2018-08-09 |
| 1679052120 | Brenda Johnson | Counselor | 4025 Towne Crossing Blvd Apt 1706, Mesquite, TX 75150 | 2018-08-07 |
| Find all providers in zip 75150 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407410509 | Interventional Partners, LLC | Podiatrist | 1675 Republic Pkwy Ste 101, Mesquite, TX 75150-6902 | 2019-04-24 |
| 1659527893 | The Foot & Ankle Institute LLC | Podiatrist | 340 Falcon Ridge Pkwy, Building 300, Suite A, Mesquite, NV 89027-8850 | 2008-08-07 |
| 1942330220 | Richard Eusanio, D.p.m.,p.c. | Podiatrist | 1645 N Town East Blvd, #502, Mesquite, TX 75150-4158 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396834 | Shine Foot and Ankle Center | Podiatrist | 11614 Fm 2244 Rd Ste 150, Austin, TX 78738-5471 | 2020-11-05 |
| 1740895911 | Royal Haven Medical | Podiatrist | 713 Lakeview Dr, Alvarado, TX 76009-2668 | 2020-09-14 |
| 1851924500 | Interventional Partners LLC | Podiatrist | 4708 Alliance Blvd Ste 475, Plano, TX 75093-5351 | 2020-02-20 |
| 1225688583 | Access Podiatry Center, LLC | Podiatrist | 2703 Stone Hedge, Eagle Pass, TX 78852 | 2019-09-18 |
| 1366091704 | Carrollton Podiatrist Pllc | Podiatrist | 3730 N Josey Ln Ste 120, Carrollton, TX 75007-2439 | 2019-09-09 |
| 1760030571 | Right Step Foot Clinic and Ankle Clinic, LLC | Podiatrist | 11507 S Highway 6 Ste C, Sugar Land, TX 77498-4933 | 2019-08-27 |
| 1225684392 | Podiatry Usa Corporation | Podiatrist | 2300 Sherbrooke Ln, Mckinney, TX 75070-4769 | 2019-08-14 |
| 1508422395 | Interventional Partners | Podiatrist | 3200 Olton Rd Ste C, Plainview, TX 79072-6653 | 2019-05-16 |
| 1194380097 | Interventional Partners LLC | Podiatrist | 5575 Warren Pkwy Ste 101, Frisco, TX 75034-4066 | 2019-05-06 |
| 1548825839 | Interventional Partners LLC | Podiatrist | 2150 N Josey Ln # 200b, Carrollton, TX 75006-2991 | 2019-05-02 |
| 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.