DR. JACKSON C CHEN (NPI# 1063494797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063494797 |
| Entity Type | Individual |
| Full Name | DR. JACKSON C CHEN |
| Credential | M.D. |
| Practice Address |
14725 Compass St Corpus Christi TX 78418-6030 |
| Mailing Address |
919 Hidden Rdg Irving TX 75038-3813 |
| Practice Telephone | 3619496290 |
| Practice Fax Number | 3619496268 |
| Mailing Telephone | (469) 282-2711 |
| Mailing Fax Number | 4692820995 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2017-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | K5082 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 142694204 | 05 | |
| TX | WELLMED PTAN | 363090YLPS | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316113954 | Jackson W Chen | General Practice | 209 Indian Trail Rd, Oak Brook, IL 60523-2797 | 2008-05-04 |
| 1710480892 | Jackson Chen | Student in an Organized Health Care Education/Training Program | 71 Haynes St, Manchester, CT 06040-4131 | 2018-03-14 |
| Street Address |
14725 COMPASS ST |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78418-6030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205355849 | Apollo Health Management | Clinical Medical Laboratory | 15141 Dasmarinas Drive, Corpus Christi, TX 78418 | 2017-09-14 |
| 1447441811 | Terri R Kawamura | Nurse Practitioner | 1145 Waldron, Corpus Christi, TX 78418 | 2007-08-09 |
| 1225249915 | Edward Daniel Schiller | Anesthesiology | 14918 Tesoro Dr, Corpus Christi, TX 78418 | 2007-05-24 |
| 1194931311 | Jesus Jimenez | Military Health Care Provider | 1017a Huey Dr, Corpus Christi, TX 78418 | 2007-05-15 |
| 1194898072 | Michael Dennis Lecompte | Orthopaedic Surgery | 14338 Playa Del Rey, Corpus Christi, TX 78418 | 2006-11-16 |
| 1841385960 | Bay Area Adult Day Care Inc. | Clinic/Center | 9241 South Padre Island Dr., Corpus Christi, TX 78418 | 2006-10-04 |
| 1922106780 | Thomas Raymond Hollingsworth IIi | Chiropractor | 9450 Spid, Ste 5, Corpus Christi, TX 78418 | 2006-09-20 |
| 1356450787 | H-e-b, Lp | Clinical Medical Laboratory | 1145 Waldron Rd, Corpus Christi, TX 78418 | 2006-08-30 |
| 1760597918 | William Frederick Craft | Optometrist | 14650 Compass St, Suite 2, Corpus Christi, TX 78418 | 2006-08-20 |
| 1619980232 | Roy L Tiemeyer Ddspc | Dentist | 10338 S.p.i.d.#2, Corpus Christi, TX 78418 | 2006-08-14 |
| Find all providers in zip 78418 | ||||
| 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 |
|---|---|---|---|---|
| 1134737158 | Christopher Lawrence Dematt | Family Medicine | 14254 S Padre Island Dr, Corpus Christi, TX 78418-6277 | 2020-07-15 |
| 1487216032 | Robert W. Galbreath | Family Medicine | 3515 S Alameda St, Corpus Christi, TX 78411 | 2019-07-03 |
| 1669997953 | Keeps Medical Group, P.a. | Family Medicine | 13715 Hillwood Trl, Corpus Christi, TX 78410-4802 | 2017-08-07 |
| 1407376429 | Jessica L Six | Family Medicine | 1025 Morgan Ave, Corpus Christi, TX 78404-2041 | 2017-06-21 |
| 1568829778 | Salang Health Solutions LLC | Family Medicine | 4833 S Staples St Unit B, Corpus Christi, TX 78411-2609 | 2016-01-19 |
| 1124401088 | Jonathan Dancel | Family Medicine | 7218 S Padre Island Dr, Apt 38c, Corpus Christi, TX 78412-4332 | 2015-07-09 |
| 1114314119 | Shery Malaty | Family Medicine | 2606 Hospital Blvd 5 West, Corpus Christi, TX 78405 | 2015-04-17 |
| 1437400058 | Physicians Express Pllc | Family Medicine | 4929 Burney Dr Ste 120, Corpus Christi, TX 78411-2708 | 2012-09-21 |
| 1740557552 | Myriah Willborn | Family Medicine | 5802 Saratoga Blvd Ste 150, Corpus Christi, TX 78414-4254 | 2011-11-22 |
| 1639408974 | Coastal Bend Primary Care Corp | Family Medicine | 4621 S Staples, Suite A, Corpus Christi, TX 78411-2605 | 2009-12-16 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78418 |
Please comment or provide details below to improve the information on DR. JACKSON C CHEN.
| 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.