Johnathan Jackson (NPI# 1992151104, PAC ID# 4880984152) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1992151104 |
| PAC ID by PECOS | 4880984152 |
| Professional Enrollment ID | I20160531000154 |
| Full Name | Johnathan Jackson |
| Organization Legal Name | TEXAS PAIN RELIEF GROUP PLLC |
| Address |
1717 Precinct Line Rd Suite 200 Hurst TX 76054-3197 |
| Phone Number | 8173693990 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2668603952 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1717 Precinct Line Rd, Suite 200, Hurst, TX 76054-3197 | 8173693990 | TEXAS PAIN RELIEF GROUP PLLC |
| 1717 Precinct Line Rd, Hurst, TX 76054-3197 | 8173693990 | TEXAS PAIN RELIEF GROUP PLLC |
| Organization Legal Name | TEXAS PAIN RELIEF GROUP PLLC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Luke Heil | Interventional Pain Management | Texas Pain Relief Group Pllc | 4364 Heritage Trace Pkwy, Suite 112b, Fort Worth, TX 76244-9106 |
| Michelle R Simmons | Nurse Practitioner | Texas Pain Relief Group Pllc | 1717 Precinct Line Rd, Suite 200, Hurst, TX 76054-3197 |
| Edrick E Lopez | Physical Medicine and Rehabilitation | Texas Pain Relief Group Pllc | 2730 Virginia Pkwy, Suite 300, Mckinney, TX 75071-5144 |
| Ricardo Aaron Miranda | Pain Management | Texas Pain Relief Group Pllc | 4100 Fairway Dr, Suite 100, Carrollton, TX 75010-6526 |
| Jennifer Lynn Rucker | Nurse Practitioner | Texas Pain Relief Group Pllc | 4100 Fairway Dr, Suite 100, Carrollton, TX 75010-6526 |
| Demaceo Howard | Interventional Pain Management | Texas Pain Relief Group Pllc | 12222 N Central Expy, 150 Tprg N Dallas, Dallas, TX 75243-3755 |
| Christopher Price Creighton | Anesthesiology | Texas Pain Relief Group Pllc | 1717 Precinct Line Rd, Suite 200, Hurst, TX 76054-3197 |
| Brian Arnell Wiley | Family Medicine | Texas Pain Relief Group Pllc | 4100 Fairway Dr, Suite 100, Carrollton, TX 75010-6526 |
| Prasad Lakshminarasimhiah | Physical Medicine and Rehabilitation | Texas Pain Relief Group Pllc | 1717 Precinct Line Rd, Suite 200, Hurst, TX 76054-3197 |
| Lamantha Richardson | Nurse Practitioner | Texas Pain Relief Group Pllc | 1717 Precinct Line Rd, Suite 200, Hurst, TX 76054-3197 |
| Street Address |
1717 PRECINCT LINE RD SUITE 200 |
| City | HURST |
| State | TX |
| Zip | 76054-3197 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle R Simmons | Nurse Practitioner | Texas Pain Relief Group Pllc | 1717 Precinct Line Rd, Suite 200, Hurst, TX 76054-3197 |
| Christopher Price Creighton | Anesthesiology | Texas Pain Relief Group Pllc | 1717 Precinct Line Rd, Suite 200, Hurst, TX 76054-3197 |
| Prasad Lakshminarasimhiah | Physical Medicine and Rehabilitation | Texas Pain Relief Group Pllc | 1717 Precinct Line Rd, Suite 200, Hurst, TX 76054-3197 |
| Lamantha Richardson | Nurse Practitioner | Texas Pain Relief Group Pllc | 1717 Precinct Line Rd, Suite 200, Hurst, TX 76054-3197 |
| Gary Lindsey | Nurse Practitioner | Texas Pain Relief Group Pllc | 1717 Precinct Line Rd, Suite 200, Hurst, TX 76054-3197 |
| Rimpi Saini | Nurse Practitioner | Texas Pain Relief Group Pllc | 1717 Precinct Line Rd, Suite 200, Hurst, TX 76054-3197 |
| Anthony T. Clavo | Pain Management | Texas Pain Relief Group Pllc | 1717 Precinct Line Rd, Suite 200, Hurst, TX 76054-3197 |
| Robert D Clark | Pain Management | Texas Pain Relief Group Pllc | 1717 Precinct Line Rd, Suite 200, Hurst, TX 76054-3197 |
| Phillip R Kravetz | Orthopedic Surgery | Texas Pain Relief Group Pllc | 1717 Precinct Line Rd, Suite 200, Hurst, TX 76054-3197 |
| Jeanine M Lagoda | Certified Registered Nurse Anesthetist (crna) | Physician Partners of America Crna Operations LLC | 1717 Precinct Line Rd, Suite 101, Hurst, TX 76054-3169 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn R Herr | Psychologist, Clinical | Deer Oaks Geriatric Services P C | 2712 Hurstview Dr, Hurst, TX 76054-2402 |
| Randall E Wonderlich | Chiropractic | 124 Grapevine Hwy, Suite E, Hurst, TX 76054-2403 | |
| Michael A. Ganschow | Chiropractic | 104 Grapevine Hwy 400, Hurst, TX 76054-2438 | |
| Michael James Deitchman | Pediatric Medicine | Cook Childrens Physician Network | 731 Martin Rd, Hurst, TX 76054-2703 |
| Meredith Cowlishaw Drake | Pediatric Medicine | Cook Childrens Physician Network | 731 Martin Rd, Hurst, TX 76054-2703 |
| Bill Risk | Urology | Diagnostex Consultants Pllc | 500 Grapevine Hwy 106, Hurst, TX 76054-2707 |
| Roy W Turner | Family Medicine | Diagnostex Consultants Pllc | 500 Grapevine Hwy 106, Hurst, TX 76054-2707 |
| Steven G Morrell | General Practice | Diagnostex Consultants Pllc | 500 Grapevine Hwy 106, Hurst, TX 76054-2707 |
| Steven L Shilling | Cardiovascular Disease (cardiology) | Diagnostex Consultants Pllc | 500 Grapevine Hwy 106, Hurst, TX 76054-2707 |
| Angel G Negron | Hematology/oncology | Diagnostex Consultants Pllc | 500 Grapevine Hwy 106, Hurst, TX 76054-2707 |
| Find all physicians in zip 76054 | |||
| City | HURST |
| Zip Code | 76054 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HURST + NURSE PRACTITIONER |
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| 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.