FRANK WILSON JACKSON III


Address: 423 N 21st St, Suite 100, Camp Hill, PA 17011-2207
Phone: 7177610930

FRANK WILSON JACKSON III (NPI# 1164421673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164421673
Entity Type Individual
Full Name FRANK WILSON JACKSON III
Credential MD
Practice Address 423 N 21st St
Suite 100
Camp Hill
PA 17011-2207
Practice Telephone 7177610930
Practice Fax Number 7177610465
Mailing Telephone 7177610930
Mailing Fax Number 7177610465
Enumeration Date 2005-07-18
Last Update Date 2020-09-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
MD055416L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 0016834680003 05
PA AETNA US HEALTHCARE 5333615 01
PA RAILROAD MEDICARE 100012586 01
PA HEALTHAMERICA G84061 01
PA HIGHMARK BLUE SHIELD 527552 01
PA CAPITAL BLUE CROSS 01024101 01

Other Providers FRANK JACKSON

NPI Name Taxonomy Address Enumeration
1548604200 Frank Kenneth Jackson Physical Medicine & Rehabilitation 711 S Cowley St Ste 224, Spokane, WA 99202-1330 2013-04-24
1962479105 Frank R Jackson Family Medicine 805 Medical Circle, Longview, TX 75605 2006-03-07
1265994172 Frank Ian Jackson Student in an Organized Health Care Education/Training Program 114 Woodland St, Hartford, CT 06105-1208 2019-04-01
1427548296 Frank Vass Jackson IIi Counselor 2349 Russellville Rd, Bowling Green, KY 42101-3986 2018-05-16
1386977593 Frank James Jackson Jr. Specialist/Technologist 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103-6224 2009-09-08
1588620116 Frank R. Jackson Family Medicine 3357b Corridor Marketplace, Laurel, MD 20724-2381 2006-04-22

Office Location

Street Address 423 N 21ST ST
SUITE 100
City CAMP HILL
State PA
Zip Code 17011-2207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326047937 West Shore Endoscopy Center LLC Clinic/Center 423 N 21st St, Suite 102, Camp Hill, PA 17011-2207 2005-07-15
1811512346 Alyssa Smith Licensed Practical Nurse 423 N 21st St, Camp Hill, PA 17011-2207 2020-06-10
1932737145 Kayla Jefferies Registered Nurse 423 N 21st St, Camp Hill, PA 17011-2207 2020-04-01
1689202897 Tarin Leggett Registered Nurse 423 N 21st St, Camp Hill, PA 17011-2207 2020-04-01
1659909869 Kira Davis Licensed Vocational Nurse 423 N 21st St, Camp Hill, PA 17011-2207 2020-04-01
1023668464 Rachel Lyn Rodemaker Advanced Practice Midwife 423 N 21st St, Camp Hill, PA 17011-2207 2019-09-18
1679032031 Lorraine M Baer Licensed Practical Nurse 423 N 21st St, Camp Hill, PA 17011-2207 2019-03-15
1407381924 Misshell Goodman Licensed Vocational Nurse 423 N 21st St, Suite 100, Camp Hill, PA 17011-2207 2017-04-21
1396277372 Mechaela Hargrove Prevention Professional 423 N 21st St, Suite 100, Camp Hill, PA 17011-2207 2017-03-30
1679013056 Christine Vlcek Registered Nurse 423 N 21st St, Ste 100, Camp Hill, PA 17011-2207 2017-03-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790241628 Harrisburg Home Care Home Health 1713 Hammel Road, R2, Harrisburg, PA 17011 2019-02-15
1427540269 Eldercare Solutions LLC Adult Companion 1926 Market Street, Camp Hill, PA 17011 2018-06-06
1538680244 Edward Joseph Hilton Dentist 3412 Trindle Road, Camp Hill, PA 17011 2017-07-03
1639609696 Alicia Taylor Brustein Physician Assistant 425 North 21st Street, Suite 405, Camp Hill, PA 17011 2017-06-13
1285166843 Betsy Earnest, Lpc, LLC Counselor 1509 Cedar Cliff Drive, Suite 4, Camp Hill, PA 17011 2017-03-31
1962852368 Angela Antonia Debo Family Medicine 3025 Market Street, Entrance B, Camp Hill, PA 17011 2016-06-16
1033567839 Timothy Zack Day Physician Assistant 897 Poplar Rd, Camp Hill, PA 17011 2016-06-02
1962864892 Tracy Byra Registered Nurse 15 Scarsdale Drive, Camp Hill, PA 17011 2016-03-21
1245634138 Charlotte Diane Hain Psychologist 781 Poplar Church Road, Camp Hill, PA 17011 2014-10-21
1205276805 Isaac S Chiang Optometrist South 32nd Street & Trindle Rd, Camp Hill, PA 17011 2013-06-27
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346748142 Camille Milan Scott Internal Medicine 423 N 21st St Ste 100, Camp Hill, PA 17011-2207 2018-01-26
1215014790 Purvi Champak Panchal Internal Medicine 899 Poplar Church Rd, Camp Hill, PA 17011-2206 2006-11-01
1801846043 Mohan R Rengen Internal Medicine 899 Poplar Church Rd, Camp Hill, PA 17011-2206 2006-05-10
1023075454 Pennsylvania Gastroenterology Consultants, PC Internal Medicine 899 Poplar Church Rd, Camp Hill, PA 17011-2206 2006-04-28
1902866205 Jackson Siegelbaum Gastroenterology Ltd Internal Medicine 423 N 21st St, Suite 100, Camp Hill, PA 17011-2207 2006-03-23
1215917190 Adnan Ahmad Internal Medicine 423 N 21st St, Suite 100, Camp Hill, PA 17011-2207 2006-01-18
1144220633 Steven Peter Siegelbaum Internal Medicine 423 N 21st St, Suite 100, Camp Hill, PA 17011-2207 2005-07-26
1902805971 John J Michel Internal Medicine 423 N 21st St, Suite 100, Camp Hill, PA 17011-2207 2005-07-20
1811996887 David S Mize Internal Medicine 423 N 21st St, Suite 100, Camp Hill, PA 17011-2207 2005-07-20
1942205257 David J Peters Internal Medicine 899 Poplar Church Rd, Camp Hill, PA 17011-2206 2005-06-15
Find all providers in CAMP HILL

Competitor

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City CAMP HILL
Zip Code 17011

Improve Information

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Dataset Information

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.

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