ROBERT DAVID JACKSON (NPI# 1033729447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033729447 |
| Entity Type | Individual |
| Full Name | ROBERT DAVID JACKSON |
| Practice Address |
325 E H St Iron Mountain MI 49801-4760 |
| Practice Telephone | 9067743300 |
| Enumeration Date | 2020-08-01 |
| Last Update Date | 2020-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6352000221 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701487 | Robert Jackson | Physical Therapist | 3056 Healthy Way Ste 116, Birmingham, AL 35243-2435 | 2019-10-11 |
| 1881003655 | Robert Donald Jackson | Social Worker | 151 Knollcroft Rd # 116d, Lyons, NJ 07939-5001 | 2014-08-06 |
| 1780005496 | Robert Earl Jackson Jr. | Community Health Worker | 17 Wickham Dr, Columbus, GA 31907-6328 | 2013-12-23 |
| 1073942371 | Robert Jackson | Massage Therapist | 502 11th St Se, Decatur, AL 35601-4908 | 2013-11-06 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1457515330 | Robert Anthony Jackson | Dentist | 2816 Veach Rd., Unit 305, Owensboro, KY 42303 | 2008-07-10 |
| 1437357399 | Robert D Jackson | Counselor | 5525 Erindale Dr Ste 112, Colorado Springs, CO 80918-6960 | 2007-07-03 |
| 1174736029 | Robert Allan Jackson | Physician Assistant | 2109 Brookview Ter Apt B, Pekin, IL 61554-7320 | 2007-05-08 |
| 1144389347 | Robert W Jackson | Dentist | 209 Mimosa Dr, Thomasville, GA 31792-6633 | 2006-12-06 |
| 1144305152 | Robert Eric Jackson | Internal Medicine | 291 Indian Lake Blvd, Hendersonville, TN 37075-3653 | 2006-10-26 |
| Street Address |
325 E H ST |
| City | IRON MOUNTAIN |
| State | MI |
| Zip Code | 49801-4760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457355067 | Dean L Hartwig | Optometrist | 325 E H St, Iron Mountain, MI 49801 | 2005-06-10 |
| 1174133508 | Francis Thomas Mcmenamin Jr. | Psychologist | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-07-31 |
| 1225647050 | Lisa Ruth Feldmann | Pharmacist | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-07-28 |
| 1871101394 | Cherisse Norberte | Pharmacist | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-07-21 |
| 1386252492 | Kathleen Jane Dupont | Registered Nurse | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-07-15 |
| 1922623438 | Joseph Lance Walker | Pharmacist | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-06-10 |
| 1760011902 | Beata Maria Czarniak | Respiratory Therapist, Certified | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-04-08 |
| 1710530456 | Jeanelle Hautala | Registered Nurse | 325 E H St, Iron Mountain, MI 49801-4760 | 2019-07-22 |
| 1003478959 | Alexandra Hensen | Dentist | 325 E H St, Iron Mountain, MI 49801-4760 | 2019-07-01 |
| 1003477423 | Susan Scullon | Registered Nurse | 325 E H St, Iron Mountain, MI 49801-4760 | 2019-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770008062 | John M Baccino | Dietitian, Registered | 325 E H St # 133, Iron Mountain, MI 49801 | 2017-08-08 |
| 1699148692 | Bd Baker Rentals LLC | Optometrist | 2100 Aragon Street, Iron Mountain, MI 49801 | 2015-11-12 |
| 1083044762 | Integrated First Response-great Lakes | Ambulance | 719 River Avenue, Iron Mountain, MI 49801 | 2013-11-18 |
| 1912340936 | Andrew James Tomlinson | Social Worker | Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 | 2013-04-09 |
| 1902196702 | Daniel John Fornetti | Dentist | 100 S. Stephenson Ave., Iron Mountain, MI 49801 | 2011-04-13 |
| 1871815613 | Colleen Ann Sleik | Physical Therapist | Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 | 2010-02-21 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1831349539 | Amanda Jane Petti | Dietitian, Registered | 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 | 2008-09-30 |
| 1891946521 | Riki Rouse | Hearing Instrument Specialist | W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 | 2008-09-30 |
| 1366690612 | Greenlund Enterpries, Inc | Hearing Aid Equipment | W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 | 2008-08-28 |
| Find all providers in zip 49801 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417470188 | Psych-services, Pllc | Psychologist | 1112 Carpenter Ave, Iron Mountain, MI 49801-4722 | 2017-07-25 |
| 1487987269 | Karen Ann Olson | Psychologist | 216 E Ludington St, Iron Mountain, MI 49801-2918 | 2009-09-11 |
| 1427222397 | Victoria L Weiss Psyd PC | Psychologist | 427 S Stephenson Avenue, Suite 212, Iron Mountain, MI 49801-3458 | 2008-04-22 |
| 1578687398 | Victoria L Weiss | Psychologist | 427 S Stephenson Ave Ste 212, Iron Mountain, MI 49801-3458 | 2007-03-19 |
| 1174133508 | Francis Thomas Mcmenamin Jr. | Psychologist | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-07-31 |
| 1568980878 | Jared Bakker | Psychologist | 325 E H St, Iron Mountain, MI 49801-4760 | 2017-09-07 |
| 1760877781 | Lynda Kay Wargolet | Psychologist | 325 E H St, Iron Mountain, MI 49801 | 2015-04-06 |
| 1902107816 | Elizabeth Marguarite Stanczak | Psychologist | 325 E H St, Iron Mountain, MI 49801-4760 | 2010-11-09 |
| 1518195379 | Jennifer Rebecca Ross Hightower | Psychologist | 325 E H St, Iron Mountain, MI 49801-4760 | 2009-06-30 |
| 1609904127 | Robert L Marcellino Jr. | Psychologist | 325 E H St, Iron Mountain, MI 49801-4760 | 2007-02-28 |
| Find all providers in IRON MOUNTAIN | ||||
| City | IRON MOUNTAIN |
| Zip Code | 49801 |
Please comment or provide details below to improve the information on ROBERT DAVID JACKSON.
| 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.