CHRISTOPHER H JACKSON (NPI# 1063524155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063524155 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER H JACKSON |
| Credential | RPA-C |
| Practice Address |
6356 Nys Route 30 Indian Lake NY 12842-1500 |
| Mailing Address |
9 Carey Rd Queensbury NY 12804-7880 |
| Practice Telephone | 5186485707 |
| Practice Fax Number | 5186486160 |
| Mailing Telephone | 5187610300 |
| Mailing Fax Number | 5188242388 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 006846 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02346647 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417502998 | Christopher Robert Jackson | Residential Treatment Facility, Emotionally Disturbed Children | 1502 Liatris Ln, North Pole, AK 99705-5082 | 2019-08-01 |
| 1144880469 | Christopher Luke Jackson | Registered Nurse | 2177 N Brower St, Simi Valley, CA 93065-2447 | 2019-06-18 |
| 1427612480 | Christopher John Jackson | Registered Nurse | 8921 Harvey St, Livonia, MI 48150-3518 | 2019-04-25 |
| 1972009041 | Christopher Carl Jackson | Physical Therapist | 1230 Felice Cutoff Rd, Ragley, LA 70657-6645 | 2018-04-05 |
| 1538674312 | Christopher D. Jackson | Counselor | 165 Warner St, Rochester, NY 14606-1832 | 2017-12-03 |
| 1720513997 | Christopher Ainsley Nally Jackson | Massage Therapist | 124 Wren Way, Newark, DE 19711-8330 | 2017-04-25 |
| 1073980736 | Christopher G Jackson | Physical Therapist | 3143 Pelham Pkwy Ste 400, Pelham, AL 35124-6301 | 2015-08-28 |
| 1932442498 | Christopher Paul Jackson | Technician | 7821 Island Dr, Anchorage, AK 99504-2728 | 2013-04-03 |
| 1710229224 | Christopher Mitchell Jackson | Neurological Surgery | 600 N Wolfe St Tower 110, The Johns Hopkins Hospital, Baltimore, MD 21287-2109 | 2013-03-22 |
| 1417107947 | Christopher L Jackson | Acupuncturist | 7901 4th St N Ste 312, St Petersburg, FL 33702 | 2008-09-20 |
| Street Address |
6356 NYS ROUTE 30 |
| City | INDIAN LAKE |
| State | NY |
| Zip Code | 12842-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548276801 | Hudson Headwaters Health Network | Family Medicine | 6356 Nys Route 30, Indian Lake, NY 12842-2021 | 2006-07-31 |
| 1972029585 | Pawel Patryk Klimkiewicz | Nurse Practitioner | 6356 Nys Route 30, Indian Lake, NY 12842-2021 | 2017-08-15 |
| 1548671886 | Ryan Michael Donnelly | Family Medicine | 6356 Nys Route 30, Indian Lake, NY 12842-2021 | 2014-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417226978 | Renee Ann Blowers | Registered Nurse | 81 White Birch Lane, Indian Lake, NY 12842 | 2011-12-29 |
| 1447408455 | Tracey Hunt | Registered Nurse | 250 White Birch Lane, Indian Lake, NY 12842 | 2008-09-03 |
| 1912295049 | Sherry L Warner | Registered Nurse | 250 White Birch Lane, Indian Lake, NY 12842 | 2011-07-11 |
| 1477701167 | Maria Lourdes Belyea | Registered Nurse | White Birch Lane, Indian Lake, NY 12842 | 2008-09-05 |
| 1649428558 | Jonathan Callahan Stanton | Registered Nurse | 250 White Birch Lane, Indian Lake, NY 12842 | 2008-09-04 |
| 1922394543 | Indian Lake Volunteer Ambulance Corp Inc | Ambulance | 105 Pelon Road, Indian Lake, NY 12842-0117 | 2011-06-22 |
| 1023436334 | Daryl Parslow | Case Manager/Care Coordinator | 139 White Birch Lane, Indian Lake, NY 12842-0139 | 2014-04-03 |
| 1033420963 | Karen Ann Levison | Physical Therapy Assistant | 477 Adirondack Lake Road, Indian Lake, NY 12842-0204 | 2010-06-25 |
| 1013165604 | Beth Waldron | Registered Nurse | 0 White Birch Lane, Indian Lake, NY 12842-0250 | 2008-09-08 |
| 1649428749 | Avis Kim Warner | Registered Nurse | White Birch Lane, Indian Lake, NY 12842-0250 | 2008-09-03 |
| Find all providers in zip 12842 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154343168 | Hudson Headwaters Health Network | Physician Assistant | Main Street and Pelon Road, Indian Lake, NY 12842-0684 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | INDIAN LAKE |
| Zip Code | 12842 |
Please comment or provide details below to improve the information on CHRISTOPHER H 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.