Charles W Jackson Jr. (NPI# 1437224813, PAC ID# 1456407352) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1437224813 |
| PAC ID by PECOS | 1456407352 |
| Professional Enrollment ID | I20090917000554 |
| Full Name | Charles W Jackson Jr. |
| Address |
2980 Washington Blvd Cleveland Heights OH 44118-2450 |
| Gender | M |
| Graduation Year | 1961 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2980 Washington Blvd, Cleveland Heights, OH 44118-2450 |
| Street Address |
2980 WASHINGTON BLVD |
| City | CLEVELAND HEIGHTS |
| State | OH |
| Zip | 44118-2450 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frederick D Harris | Internal Medicine | The Cleveland Clinic Foundation | 5 Severance Cir, Cleveland Heights, OH 44118-1566 |
| Leonard G Katz | Dermatology | Cleveland Dermatology Group LLC | 5 Severance Circle, Cleveland Heights, OH 44118-1566 |
| Oscar Nicholson Jr. | General Surgery | 5 Severance Circle, Suite 215, Cleveland Hts, OH 44118-1567 | |
| David H Adams | Ophthalmology | 5 Severance Circle, Suite 318, Cleveland Heights, OH 44118-1569 | |
| Sally Schkolnik | Podiatry | 5 Severence Circle, Suite 309, Cleveland, OH 44118-1569 | |
| Franklin H Kodish | Podiatry | 5 Severance Circle, Suite 501, Cleveland, OH 44118-1588 | |
| Praveer Kumar | Internal Medicine | University Primary Care Practices Inc | 5 Severance Cir, Suite 514, Cleveland Heights, OH 44118-1588 |
| Sandra Lillian Chapman | Nurse Practitioner | University Primary Care Practices Inc | 5 Severance Cir, Suite 514, Cleveland Heights, OH 44118-1588 |
| Valsa J Mariappuram | Infectious Disease | University Primary Care Practices Inc | 5 Severance Cir, Suite 514, Cleveland Heights, OH 44118-1588 |
| James D Walter | Orthopedic Surgery | University Primary Care Practices Inc | 5 Severance Cir, Suite 514, Cleveland Heights, OH 44118-1588 |
| Find all physicians in zip 44118 | |||
| City | CLEVELAND HEIGHTS |
| Zip Code | 44118 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | CLEVELAND HEIGHTS + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Charles W Jackson Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.