Donald L Jackson (NPI# 1073501177, PAC ID# 2466547336) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1073501177 |
| PAC ID by PECOS | 2466547336 |
| Professional Enrollment ID | I20071008000165 |
| Full Name | Donald L Jackson |
| Organization Legal Name | NEW HEALTH PROGRAMS ASSOCIATION |
| Address |
358 N Main St Colville WA 99114-2310 |
| Phone Number | 5096841440 |
| Gender | M |
| Graduation Year | 1978 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1951202373 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501326 | PROVIDENCE MOUNT CARMEL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 358 N Main St, Colville, WA 99114-2310 | 5096841440 | NEW HEALTH PROGRAMS ASSOCIATION |
| 3994 Colville Rd, Loon Lake, WA 99148-9789 | 5092338412 | NEW HEALTH PROGRAMS ASSOCIATION |
| 411 Summit, Northport, WA 99157-0178 | 5097324252 | NEW HEALTH PROGRAMS ASSOCIATION |
| 141 3rd Ave, Orient, WA 99160-9418 | 5096845521 | NEW HEALTH PROGRAMS ASSOCIATION |
| Organization Legal Name | NEW HEALTH PROGRAMS ASSOCIATION |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hyojin K Meadows | Nurse Practitioner | New Health Programs Association | 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 |
| Liesl K Pavlic | Internal Medicine | New Health Programs Association | 518 Clay Ave E, Chewelah, WA 99109-8947 |
| Melissa A Brooks | Nurse Practitioner | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| Melinda Cecile Ekholm | Nurse Practitioner | New Health Programs Association | 3994 Colville Rd, Loon Lake, WA 99148-9789 |
| Joseph S Taylor | Family Medicine | New Health Programs Association | 208 Cedar Creek Ter, Ione, WA 99139-5011 |
| Shirley G Wagoner | Nurse Practitioner | New Health Programs Association | 518 E Clay Ave, Chewelah, WA 99109-8947 |
| John H Kabosky | Nurse Practitioner | New Health Programs Association | 114 S Main St, Springdale, WA 99173-9740 |
| Maja Nmi Zugec | Internal Medicine | New Health Programs Association | 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 |
| Kay Gentry | Nurse Practitioner | New Health Programs Association | 518 E Clay Ave, Chewelah, WA 99109-8947 |
| Janice M Linehan | Nurse Practitioner | New Health Programs Association | 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 |
| Street Address |
358 N MAIN ST |
| City | COLVILLE |
| State | WA |
| Zip | 99114-2310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Brooks | Nurse Practitioner | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| James P Mullen | Family Medicine | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| Kelly L Witte | Physician Assistant | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| Marty P Malone | Physician Assistant | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl H Holling | Ophthalmology | 164 N Main St, Colville, WA 99114-2306 | |
| Jason D Gutzwiler | Chiropractic | 298 S Main St, Suite 208, Colville, WA 99114-2416 | |
| Lynsey R Eveland | Optometry | Colville Valley Eyecare, Pllc | 298 S Main St, Suite 301, Colville, WA 99114-2416 |
| Kenton Mcdougall | Optometry | Colville Valley Eyecare, Pllc | 298 S Main St, Suite 301, Colville, WA 99114-2416 |
| Robert D Sumner | Physical Therapy | 212 W Birch Ave, Colville, WA 99114-2440 | |
| Jo Nell R Amburgey | Clinical Social Worker | 298 S Main St, Suite L3, Colville, WA 99114-2447 | |
| Terry H Lawson | Chiropractic | 555 S Main St, Suite A, Colville, WA 99114-2517 | |
| Carl A Baum | Psychiatry | Stevens County | 165 E Hawthorne Ave, Colville, WA 99114-2629 |
| Theresa L Brooks | Clinical Social Worker | Stevens County | 165 E Hawthorne Ave, Colville, WA 99114-2629 |
| Angela V Mathias | Clinical Social Worker | Stevens County | 165 E Hawthorne Ave, Colville, WA 99114-2629 |
| Find all physicians in zip 99114 | |||
| City | COLVILLE |
| Zip Code | 99114 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COLVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Donald L Jackson.
| 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.