DR. ROBERT KIRK JACKSON (NPI# 1164442406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164442406 |
| Entity Type | Individual |
| Full Name | DR. ROBERT KIRK JACKSON |
| Credential | M.D. |
| Practice Address |
82 Thomas Johnson Ct Frederick MD 21702-4348 |
| Practice Telephone | 3016982440 |
| Practice Fax Number | 3018460892 |
| Mailing Telephone | 3016982440 |
| Mailing Fax Number | 3018460892 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | D0039847 | MD | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701487 | Robert Jackson | Physical Therapist | 3056 Healthy Way Ste 116, Birmingham, AL 35243-2435 | 2019-10-11 |
| 1881003655 | Robert Donald Jackson | Social Worker | 151 Knollcroft Rd # 116d, Lyons, NJ 07939-5001 | 2014-08-06 |
| 1780005496 | Robert Earl Jackson Jr. | Community Health Worker | 17 Wickham Dr, Columbus, GA 31907-6328 | 2013-12-23 |
| 1073942371 | Robert Jackson | Massage Therapist | 502 11th St Se, Decatur, AL 35601-4908 | 2013-11-06 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1457515330 | Robert Anthony Jackson | Dentist | 2816 Veach Rd., Unit 305, Owensboro, KY 42303 | 2008-07-10 |
| 1437357399 | Robert D Jackson | Counselor | 5525 Erindale Dr Ste 112, Colorado Springs, CO 80918-6960 | 2007-07-03 |
| 1174736029 | Robert Allan Jackson | Physician Assistant | 2109 Brookview Ter Apt B, Pekin, IL 61554-7320 | 2007-05-08 |
| 1144389347 | Robert W Jackson | Dentist | 209 Mimosa Dr, Thomasville, GA 31792-6633 | 2006-12-06 |
| 1144305152 | Robert Eric Jackson | Internal Medicine | 291 Indian Lake Blvd, Hendersonville, TN 37075-3653 | 2006-10-26 |
| Street Address |
82 THOMAS JOHNSON CT |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699930909 | Lori Alessi | Audiologist | 82 Thomas Johnson Ct, Frederick, MD 21702-4348 | 2008-07-25 |
| 1922132281 | R. Kirk Jackson, M.d., P.a. | Specialist | 82 Thomas Johnson Ct, Frederick, MD 21702-4348 | 2007-03-16 |
| 1063432326 | Jong Chul Yoon | Specialist | 82 Thomas Johnson Ct, Frederick, MD 21702-4348 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619481033 | Christopher Lynn Cornwell | Specialist | 5732 Buckeystown Pike Ste 14, Frederick, MD 21704-5208 | 2017-11-21 |
| 1598134066 | Shana Oshiro | Specialist | 1301 Dogwood Dr, Frederick, MD 21701-5020 | 2015-09-15 |
| 1407095227 | Neurodiagnostics Ceneters, LLC | Specialist | 7226 Corporate Ct, Frederick, MD 21703-8386 | 2009-02-18 |
| 1184817512 | Frederick Medical & Pulmonary Assoc | Specialist | 7115 Guilford Drive #202, Frederick, MD 21704 | 2007-08-20 |
| 1801960935 | Center for Chest Disease LLC | Specialist | 501 W 7th St Ste D, Frederick, MD 21701-4589 | 2006-11-20 |
| 1073682027 | Arnold O Lankford | Specialist | 1200 Baker Place, South, Frederick, MD 21702 | 2006-11-06 |
| 1467562371 | Mudusar I Raza | Specialist | 801 Toll House Ave Ste B2, Frederick, MD 21701-6110 | 2006-08-30 |
| 1386752806 | Yassin Mohamed | Specialist | 300 W Ninth St, Frederick, MD 21701-4541 | 2006-08-25 |
| 1326008582 | Prafull K Dave | Specialist | 188 Thomas Johnson Drive, Suite 200, Frederick, MD 21702 | 2006-03-23 |
| 1295716827 | Martha Jane Pierce | Specialist | 300 W 9th St, Frederick, MD 21701-4541 | 2005-11-10 |
| Find all providers in FREDERICK | ||||
Please comment or provide details below to improve the information on DR. ROBERT KIRK 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.