JOSHUA JACKSON (NPI# 1134590987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134590987 |
| Entity Type | Individual |
| Full Name | JOSHUA JACKSON |
| Credential | MD |
| Practice Address |
111 S Front St Harrisburg PA 17101-2010 |
| Mailing Address |
1108 Yverdon Dr A2 Camp Hill PA 17011-1251 |
| Practice Telephone | 7177823131 |
| Mailing Telephone | 8185905307 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MT210032 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326290 | Joshua Jackson | Nurse Practitioner | 5432 E Southern Ave Ste 101b, Mesa, AZ 85206-2772 | 2020-08-11 |
| 1194372243 | Joshua Rashad Jackson Sr. | In Home Supportive Care | 6340 N 84th St Apt 5, Milwaukee, WI 53225-1972 | 2019-08-22 |
| 1760944425 | Joshua D Jackson | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, NC 27710-4132 | 2019-04-02 |
| 1457846016 | Joshua Jackson | Case Manager/Care Coordinator | 1735 S Hawkins Ave, Akron, OH 44320 | 2018-06-26 |
| 1669979373 | Joshua Alexander Jackson | Student in an Organized Health Care Education/Training Program | 2041 Georgia Ave Nw, Washington, DC 20059-0001 | 2018-04-09 |
| 1861943961 | Joshua Darnell Jackson | Specialist/Technologist | 801 Harding Blvd, Baton Rouge, LA 70807-5326 | 2016-10-24 |
| 1376902221 | Joshua Jackson | Nurse Practitioner | 1325 San Marco Blvd, Reid Bldg., Suite 300, Jacksonville, FL 32207-8568 | 2016-02-21 |
| 1528441870 | Joshua Jackson | Internal Medicine | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2015-07-06 |
| 1750799557 | Joshua Jackson | Pharmacist | 1755 Lakewood Ranch Blvd, Bradenton, FL 34211-4906 | 2014-07-25 |
| 1285650010 | Joshua Shy Jackson | Nurse Anesthetist, Certified Registered | 400 S Clark St, Butte, MT 59701-2328 | 2006-07-14 |
| Street Address |
111 S FRONT ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17101-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104551 | Donald Carl Durbeck | Internal Medicine | 111 S Front St, Harrisburg, PA 17101-2010 | 2005-06-20 |
| 1609474469 | Alexandra Maria Bachinsky | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-10-14 |
| 1578179248 | Katelynn Margaret Maronic | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-09-18 |
| 1124638937 | Jennifer Lynn Kane | Nurse Practitioner | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-08-06 |
| 1265050744 | Tyler Burns | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-07-10 |
| 1841818796 | Olivia Catherine Gross | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-07-08 |
| 1023635646 | Sushila Lynn Kabadi | Podiatrist | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-06-30 |
| 1831716695 | Amanda Marie Agrela Pires | Podiatrist | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-06-28 |
| 1992320295 | Kimbery Dunn | Licensed Practical Nurse | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-06-11 |
| 1821613415 | Zachary Vasold | Registered Nurse | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689169906 | Seth Lascurain | Genetic Counselor, MS | 100 S. Second St., Suite 4b, Harrisburg, PA 17101 | 2018-06-28 |
| 1912347774 | Esther Chinedu Enu | Internal Medicine | 205 S. Front St, Harrisburg, PA 17101 | 2013-06-26 |
| 1881922599 | Abha Yadav | Pediatrics | Lpaharr Pinnacle Health-harrisbrg, Harrisbrg, PA 17101 | 2009-11-19 |
| 1467665158 | Kara Lynn Foulds | Pharmacist | 100-103 Market St, Harrisburg, PA 17101 | 2007-05-08 |
| 1588767339 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 221 223 E Market, Harrisburg, PA 17101 | 2006-09-07 |
| 1902853070 | Structural Disorders of The Spine | Chiropractor | 21 North 4th Street, Harrisburg, PA 17101 | 2006-05-27 |
| 1467415364 | Ndlovu Women's Health | Specialist | 100 South Second St, Medical Sciences Bldg Suite 4a, Harrisburg, PA 17101 | 2006-04-11 |
| 1710976899 | Michael Muench | Obstetrics & Gynecology | 100 S 2nd St Ste 4b, Harrisburg, PA 17101 | 2005-10-20 |
| 1053312371 | Linda Brooks Uchal | Pharmacist | 111 S. Front St., Pinnacle Health System, Harrisburg, PA 17101 | 2005-08-09 |
| 1487659355 | Elizabeth S. Klinke | Pediatrics | Harrisburg Hospital, Pediatrics Dept-nicu, 111 S Front St., Harrisburg, PA 17101 | 2005-06-16 |
| Find all providers in zip 17101 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1013531292 | Siddharth Goel | Internal Medicine | 205 S Front St Upmc Pinnacle, Internal Medicine Residen, Suite 3c, Harrisburg, PA 17104 | 2020-06-03 |
| 1225652696 | Uba Chinyere Udeh | Internal Medicine | 205 S Front St. Suite 3c, Harrisburg, PA 17104 | 2020-06-02 |
| 1659992147 | Manpreet Sidhu | Internal Medicine | Upmc Pinnacle Hospitals 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-06 |
| 1548781602 | Olson Orenson Knight | Internal Medicine | 2501 N. Third Street, Harrisburg, PA 17110 | 2017-06-29 |
| 1952721128 | Michael John Mesaros Jr. | Internal Medicine | 5071 Bass Lake Dr, #2003, Harrisburg, PA 17111-5858 | 2014-04-25 |
| 1497185359 | Alfred Roger Chappelka Jr. | Internal Medicine | 1525 N. Front St Unit 202, Harrisburg, PA 17102 | 2013-11-13 |
| 1912347774 | Esther Chinedu Enu | Internal Medicine | 205 S. Front St, Harrisburg, PA 17101 | 2013-06-26 |
| 1568809812 | Silpa Kosuri | Internal Medicine | 205 S Front St Ste 3c, Harrisburg, PA 17104-1619 | 2013-05-28 |
| 1477841468 | Chad Michael Ward | Internal Medicine | 1199 Colonial Road, Harrisburg, PA 17712-1952 | 2011-07-12 |
| 1700079431 | Heather Elizabeth Stock | Internal Medicine | 4510 N Progress Ave, Harrisburg, PA 17110-3925 | 2007-08-27 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17101 |
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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.