DR. LARRY RONALD JACKSON II (NPI# 1023285582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023285582 |
Entity Type | Individual |
Full Name | DR. LARRY RONALD JACKSON II |
Credential | M.D. |
Practice Address |
2301 Erwin Rd Durham NC 27710-0001 |
Practice Telephone | 9199706972 |
Enumeration Date | 2008-05-14 |
Last Update Date | 2017-07-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
2011-00893 | NC | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568855724 | Larry Jackson Jr. | Specialist/Technologist | 826 Warfield Pl, Lexington, KY 40505-3612 | 2015-03-12 |
1396186276 | Larry Tyler Jackson | Dentist | 14100 N 83rd Ave, Ste 280, Peoria, AZ 85381-5658 | 2013-07-08 |
1093878191 | Larry Randolph Jackson | Registered Nurse | 615 Rapids Rd, Columbia, SC 29212-3024 | 2006-12-19 |
1710068499 | Larry M. Jackson | Nutritionist | 9357 S Kingston Ave, Chicago, IL 60617-4042 | 2006-10-18 |
1093169062 | Larry Jackson Jr. | Counselor | 1420 Central Ave, Dubuque, IA 52001-4842 | 2016-04-15 |
1679971667 | Larry Jackson | Specialist | 1501 5th Ave N, St Petersburg, FL 33705-2008 | 2014-12-08 |
1578880548 | Larry Arthur Jackson | Family Medicine | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2010-04-29 |
1912928441 | Larry D Jackson | Personal Emergency Response Attendant | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2006-07-21 |
1275574295 | Larry K Jackson | Internal Medicine | 2660 10th Ave S, Suite 528, Birmingham, AL 35205-1605 | 2006-06-09 |
1720049349 | Larry Jackson | Family Medicine | 6565 W Main St, Kalamazoo, MI 49009-6114 | 2006-03-31 |
Street Address |
2301 ERWIN RD |
City | DURHAM |
State | NC |
Zip Code | 27710-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326045857 | Duke University Health System, Inc. | Psychiatric Unit | 2301 Erwin Rd, Durham, NC 27705-4699 | 2005-06-30 |
1669073854 | Courtney Whitmore Jensen | Genetic Counselor, MS | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-11-04 |
1114528429 | Nicholas Tricarico | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-11-03 |
1164021788 | Wen Chian Ouyang | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-23 |
1447857529 | Christopher O'neal Fry | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-02 |
1932706140 | Ariane Cook | Physician Assistant | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-01 |
1801403795 | Shannon Marie Vannasane | Anesthesiology | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-25 |
1396352233 | Olivia Delpizzo | Registered Nurse | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-24 |
1619583051 | Colin Sauter | Physical Therapist | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-21 |
1962017111 | Anna Bueton | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
Find all providers in zip 27710 |
Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467410597 | Timothy P Donahue | Internal Medicine | 1821 Hillandale Rd, Suite 25c, Durham, NC 27705-2659 | 2006-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316120017 | Anil K Gehi | Internal Medicine | 6025 Burnett Womack Bldg Cb 7075, 160 Dental Circle, Chapel Hill, NC 27599-7075 | 2007-12-17 |
1114076395 | David W Frazier | Internal Medicine | 2340 Hemby Lane, Suite 100, Greenville, NC 27834 | 2007-01-09 |
1275557571 | Sherry Saxonhouse | Internal Medicine | 307 Yadkin St, Albemarle, NC 28001-3441 | 2006-07-27 |
1720042013 | Angela M Park | Internal Medicine | 1001 Newman Rd, New Bern, NC 28562-5253 | 2006-04-13 |
1588624217 | Hemantkumar Patel | Internal Medicine | 800 Jefferson St, Ste 112, Whiteville, NC 28472-3710 | 2006-03-25 |
1922009935 | Sanjay Prasher | Internal Medicine | 2301 Robeson St, Suite 301, Fayetteville, NC 28305-5640 | 2005-08-02 |
1154320307 | John Mark Englehardt | Internal Medicine | 3324 Six Forks Rd, Raleigh, NC 27609-7233 | 2005-07-19 |
1801495387 | Gillian Grace Winter | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-10-26 |
1063077436 | Wakemed Specialists Group, LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-05-01 |
1780076000 | Wake Specialty Physicians LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2015-02-24 |
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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.