DR. JAMES BRUCE JACKSON (NPI# 1154656460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154656460 |
Entity Type | Individual |
Full Name | DR. JAMES BRUCE JACKSON |
Credential | M.D. |
Practice Address |
2004 Lexington Ave Mansfield OH 44907-3024 |
Practice Telephone | 4197569448 |
Mailing Telephone | 4197569448 |
Enumeration Date | 2009-10-05 |
Last Update Date | 2009-10-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 021198 | OH | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699373456 | James Andy Jackson | Counselor | 14239 Charles Pollock Ave, El Paso, TX 79938-3197 | 2020-10-14 |
1770905200 | James Jackson | Legal Medicine | 1404 Chandler Rd Se, Huntsville, AL 35801-1406 | 2014-01-17 |
1811282247 | James Allen Jackson | Social Worker | 5209 Point Fosdick Dr Nw Ste 205, Gig Harbor, WA 98335 | 2011-06-14 |
1710118625 | James W Jackson | Behavioral Analyst | 1111 N Cedar Rd, New Lenox, IL 60451-1419 | 2009-07-27 |
1386843050 | James Andrew Jackson | Dentist | 228 Main St., Nettleton, MS 38858 | 2007-07-13 |
1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
1518003078 | James Edward Jackson | Social Worker | 736 Se 18th Ave, Ocala, FL 34471-4114 | 2007-01-30 |
1871648253 | James Richard Jackson | Physician Assistant | 3403 S Padre Island Dr Ste 301, Corpus Christi, TX 78415-2925 | 2007-01-24 |
1891848529 | James Fred Jackson | Dentist | 1193 Pineview Dr, Morgantown, WV 26505-2700 | 2007-01-18 |
1275682403 | James Paul Jackson | Optometrist | 1845 Main Ave, Durango, CO 81301-5035 | 2007-01-09 |
Street Address |
2004 LEXINGTON AVE |
City | MANSFIELD |
State | OH |
Zip Code | 44907-3024 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
Find all providers in zip 44907 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609334994 | Premier Doc Assist, Pllc | Surgery | 3540 E. Broad St, Ste 120 Pmb 194, Mansfield, TX 76063 | 2019-03-06 |
1285009803 | Kendall Polk | Surgery | 205 Crenshaw Dr, Mansfield, TX 76063-3451 | 2015-12-08 |
1912346024 | Niraj Badhiwala | Surgery | 309 Regency Pkwy Ste 103, Mansfield, TX 76063-5165 | 2013-06-21 |
1801087093 | Daniel Esteban Lopez | Surgery | 5 Addison Ct, Mansfield, TX 76063-5511 | 2007-08-05 |
1760684195 | Joshua Kyle Trussell | Surgery | 2800 E Broad Street, Suite 304, Mansfield, TX 76063-6412 | 2007-06-05 |
1902007917 | Garish Kurian Alexander | Surgery | 2975 E Broad St Ste 200, Mansfield, TX 76063-9147 | 2007-05-29 |
1851509145 | Uzoma Ben Gbulie | Surgery | 1021 Matlock Rd Ste 103, Mansfield, TX 76063-3443 | 2007-05-18 |
1376577304 | Douglas Clayton Sawyer | Surgery | 119 Jefferson St, Mansfield, LA 71052 | 2006-07-10 |
1851333785 | Michael L Thornton | Surgery | 1301 E Debbie Ln, Ste 102-318, Mansfield, TX 76063-3305 | 2006-06-12 |
1740267798 | Antoine Said Munther | Surgery | 215 Wood St, Mansfield, OH 44903-2260 | 2005-12-29 |
Find all providers in MANSFIELD |
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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.