DR. PAUL THOMAS JACKSON JR. (NPI# 1154435899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154435899 |
| Entity Type | Individual |
| Full Name | DR. PAUL THOMAS JACKSON JR. |
| Credential | MD |
| Practice Address |
4550 Lamar Ave Suite 200 Paris TX 75462-5124 |
| Practice Telephone | 9037392888 |
| Practice Fax Number | 9037399643 |
| Mailing Telephone | 9037392888 |
| Mailing Fax Number | 9037399643 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2015-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | K3760 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 096332401 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477112522 | Paul A Jackson | Psychologist | 459 W Macarthur Blvd, Oakland, CA 94609-2808 | 2019-06-12 |
| 1114422599 | Paul Jackson | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Gme, Corpus Christi, TX 78404 | 2018-03-27 |
| 1639435019 | Paul Jackson | Adult Companion | 2229 Pueblo Dr, Garland, TX 75040-4328 | 2012-04-10 |
| 1609005172 | Paul A Jackson Jr. | Counselor | 5117 Andrea Blvd, Suite 86, Sacramento, CA 95842-2518 | 2009-07-06 |
| 1467688564 | Paul S. Jackson | Student in an Organized Health Care Education/Training Program | 26 South 200 East, Suite 5900, Salt Lake City, UT 84112 | 2009-06-03 |
| 1043462815 | Paul Jackson | Driver | 34401 Calgary Ter, Fremont, CA 94555-2916 | 2008-10-10 |
| 1053322974 | Paul D Jackson | Obstetrics & Gynecology | 508 Arnold Ave, Greenville, MS 38701-5319 | 2006-08-10 |
| 1053330704 | Paul Maurice Jackson | Internal Medicine | 20271 Merrick Dr, Saratoga, CA 95070-4960 | 2006-07-19 |
| 1598706855 | Paul Brian Jackson | Optometrist | 6825 Parker Farm Dr, Wilmington, NC 28405-3168 | 2006-06-09 |
| 1942290606 | Paul Dennis Jackson | Psychiatry & Neurology | 2065 21st St Se Apt O, Hickory, NC 28602-3479 | 2005-10-25 |
| Street Address |
4550 LAMAR AVE SUITE 200 |
| City | PARIS |
| State | TX |
| Zip Code | 75462-5124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018923 | Smiley Star Dental Pllc | Dentist | 4550 Lamar Ave, 300, Paris, TX 75462-5124 | 2016-12-22 |
| 1720355423 | Paris Childrens Dentistry | Dentist | 4550 Lamar Ave, Suite 300, Paris, TX 75462-5124 | 2011-11-23 |
| 1366771149 | Paris Childrens Dentistry | Dentist | 4550 Lamar Ave, 300, Paris, TX 75462-5124 | 2009-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352308 | My Home Sitting Services | In Home Supportive Care | 1700 Place Fm 195 Paris, Tx 75462, Suite #114, Paris, TX 75462 | 2020-09-24 |
| 1932688280 | Gerald Justin Enox | Nurse Practitioner | 370 Bible Camp Rd, Reno, TX 75462 | 2018-08-08 |
| 1295190296 | Paris Dentistry Pllc | Dentist | 3844 Lamar Avenue, Paris, TX 75462 | 2015-12-18 |
| 1821477407 | Paris Cardiology Center Cath Lab P.a. | Clinic/Center | 2620 Spur 139, Paris, TX 75462 | 2015-05-28 |
| 1568887610 | White Star Dental PC | Dentist | 3844 Lamar Ave, Paris, TX 75462 | 2014-02-26 |
| 1376892935 | Charles Udo Nnamdi Dike | Pharmacist | 3606 Lamar Avenue, Paris, TX 75462 | 2012-08-29 |
| 1104988716 | Rudy Calabria | Dentist | 4181 Lamar, Paris, TX 75462 | 2006-12-14 |
| 1134293418 | Robert G White | Dentist | 375 Stone Ave, Paris, TX 75462 | 2006-11-20 |
| 1417034307 | Thomas David Calabria | Dentist | 4181 Lamar Ave, Paris, TX 75462 | 2006-11-01 |
| 1285688440 | Physical Therapy Clinic of Paris, Lp | Physical Therapist | 4005 Lamar Avenue, Paris, TX 75462 | 2006-05-20 |
| Find all providers in zip 75462 | ||||
| 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 |
|---|---|---|---|---|
| 1891049342 | Devabrata Ganguly Md Pa | Internal Medicine | 3144 Clarksville St, Paris, TX 75460-8002 | 2012-11-06 |
| 1750544821 | Ghana Khadka | Internal Medicine | 2850 Lewis Lane Ste 106, Paris, TX 75460 | 2008-07-08 |
| 1063614436 | Alefia A Tapia | Internal Medicine | 1800 Farm Road 195, Paris, TX 75462-2806 | 2007-06-05 |
| 1346252939 | Pamela A Combs | Internal Medicine | 24 Clinic Dr, Paris, KY 40361-2166 | 2006-08-12 |
| 1629046834 | Richard M West | Internal Medicine | 6 Linville Dr, Paris, KY 40361-2128 | 2006-03-14 |
| 1023015310 | Thomas R Troutt | Internal Medicine | 927 S Collegiate Dr, Paris, TX 75460-6307 | 2005-07-01 |
| 1174527766 | Khalid Shafiq | Internal Medicine | 1775 Farm Road 195, Paris, TX 75462-2855 | 2005-06-10 |
| 1619502614 | Heart Clinic of Paris Pa | Internal Medicine | 2890 Lewis Ln, Paris, TX 75460-9319 | 2020-03-10 |
| 1891156527 | My Healthcare Team Pllc | Internal Medicine | 3146 Clarksville St, Paris, TX 75460-8002 | 2016-03-08 |
| 1407100084 | Tapia Internal Medicine Clinic Pllc | Internal Medicine | 1800 Farm Road 195, Paris, TX 75462-2806 | 2012-11-03 |
| Find all providers in PARIS | ||||
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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.