DR. AMY MARIE JACKSON (NPI# 1033155106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033155106 |
| Entity Type | Individual |
| Full Name | DR. AMY MARIE JACKSON |
| Credential | D.O. |
| Practice Address |
2731 Maguire Rd Ocoee FL 34761-4797 |
| Practice Telephone | 4076353080 |
| Practice Fax Number | 4076367804 |
| Mailing Telephone | 4076353080 |
| Mailing Fax Number | 4076367804 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS9293 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 009067700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027134 | Amy Lynn Jackson | In Home Supportive Care | 812 County Road 24 N, De Graff, OH 43318-9716 | 2020-09-15 |
| 1508489097 | Amy E Jackson | Social Worker | 102 Sloan Rd, Nashville, TN 37209-4636 | 2020-05-19 |
| 1780117804 | Amy Jackson | Counselor | 3590 Mary Ader Ave Apt 1021, Charleston, SC 29414-5792 | 2017-04-05 |
| 1598116568 | Amy Jackson | Behavioral Analyst | 936 Central St Rear Unit, Framingham, MA 01701-4816 | 2016-06-30 |
| 1972866085 | Amy J Jackson | Nurse Practitioner | 2701 W North St Ste B, Muncie, IN 47303-3415 | 2012-06-22 |
| 1881754877 | Amy Jackson | Dentist | 14855 Blanco Rd Ste 109, San Antonio, TX 78216-7728 | 2006-12-11 |
| 1699772954 | Amy Elizabeth Jackson | Physician Assistant | 1124 Medical Pl, Seymour, IN 47274-2640 | 2005-07-01 |
| 1285235242 | Amy Fay Jackson | Nurse Practitioner | 4411 Medical Dr Ste 300, San Antonio, TX 78229-3824 | 2020-11-05 |
| 1376141747 | Amy Michele Jackson | Community Health Worker | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-10-16 |
| 1467019943 | Amy Jackson | Family Medicine | 155 Academy Ave, Greenwood, SC 29646-3869 | 2019-05-21 |
| Street Address |
2731 MAGUIRE RD |
| City | OCOEE |
| State | FL |
| Zip Code | 34761-4797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013337898 | Anita Ahmed | Family Medicine | 2731 Maguire Rd, Ocoee, FL 34761-4797 | 2014-04-21 |
| 1689893885 | Suvy Kuriakose | Family Medicine | 2731 Maguire Rd, Ocoee, FL 34761 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736186 | Alyson Foisy | Behavior Technician | 2930 Maguire Road, Suite 200, Ocoee, FL 34761 | 2020-07-05 |
| 1033732797 | Nephron Care & Dialysis LLC | Internal Medicine | Health Central Hospital, 10000 West Colonial Drive, Ocoee, FL 34761 | 2020-05-28 |
| 1255969259 | Medical Risk Solutions | Family Medicine | 175 N Bluford Ave, Ocoee, FL 34761 | 2020-03-27 |
| 1912533027 | Fm Dental, LLC | Clinic/Center | 1104 South Clarke Rd, Suite 10, Ocoee, FL 34761 | 2020-03-20 |
| 1518509330 | Noel Christine Montoya | Behavior Technician | 2930 Maguire Rd Suite 200, Ocoee, FL 34761 | 2019-10-14 |
| 1346895166 | Dentists of Ocoee, Pa | Dentist | 11050 West Colonial Drive, Suite 30, Ocoee, FL 34761 | 2019-08-08 |
| 1386209575 | Chantal Monde | Nurse Practitioner | 1000 W Colonial Drive, Ocoee, FL 34761 | 2019-05-03 |
| 1740844422 | Angela Renee's Home Care LLC | In Home Supportive Care | 2398 Cory Ct, Ocoee, FL 34761 | 2019-04-27 |
| 1346713492 | Orlando Health Central, Inc. | Skilled Nursing Facility | 1300 Hempel Avenue, Ocoee, FL 34761 | 2019-01-10 |
| 1609352970 | Agape's Way, Inc | Nursing Care | 1851 Sparkling Water Circle, Ocoee, FL 34761 | 2018-07-19 |
| Find all providers in zip 34761 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969259 | Medical Risk Solutions | Family Medicine | 175 N Bluford Ave, Ocoee, FL 34761 | 2020-03-27 |
| 1134426844 | River of Life Osteopathic LLC | Family Medicine | 2705 Maguire Rd, Ocoee, FL 34761-4797 | 2011-02-15 |
| 1487966222 | Monica Marie Sickler | Family Medicine | 928 Grovesmere Loop, Ocoee, FL 34761-5622 | 2010-07-09 |
| 1104062884 | William Glenn Smith | Family Medicine | 1052 Royal Marquis Circ., Ocoee, FL 34761-9197 | 2008-12-30 |
| 1992998736 | Adam Wayne Langley | Family Medicine | 2940 Maguire Rd, Ocoee, FL 34761 | 2007-08-24 |
| 1710170568 | Gary Visser | Family Medicine | 2940 Maguire Rd Ste 200, Ocoee, FL 34761-4751 | 2007-08-24 |
| 1730277518 | William Kelly Bowman | Family Medicine | 2700 Old Winter Garden Rd, Ocoee, FL 34761-2964 | 2006-10-10 |
| 1639271711 | Georgina C Perdomo | Family Medicine | 1202 E Silver Star Rd, Ocoee, FL 34761-2460 | 2006-09-01 |
| 1235171463 | Matthew Bret Harrison | Family Medicine | 2711 Maguire Rd, Ocoee, FL 34761-4797 | 2006-06-12 |
| 1720032840 | Roberta Gail Chung | Family Medicine | 17 E Oakland Ave, Ocoee, FL 34761-2233 | 2006-05-22 |
| Find all providers in OCOEE | ||||
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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.