MR. RONNIE LEE JACKSON (NPI# 1174500896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174500896 |
| Entity Type | Individual |
| Full Name | MR. RONNIE LEE JACKSON |
| Credential | MD |
| Practice Address |
100 Northcrest Dr Springfield TN 37172-3927 |
| Practice Telephone | 6153842411 |
| Mailing Telephone | 6153842411 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2015-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD020868 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3077609 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821562315 | Ronnie Jerome Jackson | Case Manager/Care Coordinator | Bhs Hollywood Recovery Center, 6838 Sunset Blvd, Hollywood, CA 90028 | 2019-01-17 |
| 1841799590 | Ronnie Jackson | Counselor | 1428 Peterman Dr Ste A, Alexandria, LA 71301-3461 | 2018-02-08 |
| 1508229592 | Ronnie Jackson Jr. | Peer Specialist | 909 Alameda St, Norman, OK 73071-5229 | 2016-03-29 |
| Street Address |
100 NORTHCREST DR |
| City | SPRINGFIELD |
| State | TN |
| Zip Code | 37172-3927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073594099 | John Jason James | Emergency Medicine | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2005-11-08 |
| 1467082511 | Jessica Lynn Williams | Registered Nurse | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2020-01-16 |
| 1487298980 | Keith Richard Kuboske | Pharmacist | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2019-10-29 |
| 1376025114 | Northcrest Medical Center | Medicare Defined Swing Bed Unit | 100 Northcrest Dr, Springfield, TN 37172 | 2018-08-29 |
| 1811405236 | Todd M Perkins | Nurse Anesthetist, Certified Registered | 100 Northcrest Dr, Springfield, TN 37172 | 2018-01-19 |
| 1104378538 | Matthew Stewart | Nurse Anesthetist, Certified Registered | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2016-11-02 |
| 1265897177 | William Claude England Iv | Nurse Anesthetist, Certified Registered | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2015-12-18 |
| 1699177162 | Cep America LLC | Physician Assistant | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2014-09-16 |
| 1023435724 | Michelle Marie Breedlove | Nurse Practitioner | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2014-03-20 |
| 1417370479 | Seleana Miller | Nurse Anesthetist, Certified Registered | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2014-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859376 | Results-ast Jv, LLC | Physical Therapist | 3556 Tom Austin Highway, Suite 2, Springfield, TN 37172 | 2020-10-21 |
| 1871107482 | Springfield Residential, LLC | Assisted Living Facility | 2530 South Main Street, Springfield, TN 37172 | 2020-09-01 |
| 1922610427 | Jenae Annette Rankin | Physical Therapist | Intelligent Therapy, 719 South Main Street, Springfield, TN 37172 | 2020-08-18 |
| 1043856297 | Jeffrey Brian Barnes | Pharmacist | 100 Northcrest Dr., Pharmacy, Springfield, TN 37172 | 2019-11-22 |
| 1407407968 | Sadie L Shields | Speech-Language Pathologist | Its 3131 Tom Austin Highway, Springfield, TN 37172 | 2019-09-26 |
| 1871148965 | Austin Chhut | Occupational Therapy Assistant | Intelligent Therapy Staffing, 3131 Tom Austin Hwy, Springfield, TN 37172 | 2019-08-06 |
| 1013409887 | Springfield Pediatric Dentistry | Dentist | 3130 Tom Austin Hwy Ste B, Springfield, TN 37172 | 2018-06-06 |
| 1083163752 | The Ridge | Counselor | 514 Hill Street, Springfield, TN 37172 | 2016-09-23 |
| 1902255516 | Dionna Marino | Case Manager/Care Coordinator | 731 Cheatham Street, Springfield, TN 37172 | 2016-06-06 |
| 1174964258 | Molly Williams | Registered Nurse | 800 S. Brown Street, Springfield, TN 37172 | 2013-07-17 |
| Find all providers in zip 37172 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1386067742 | Rashid Nayyar, M.d. PC | Internal Medicine | 6247 Rolling Spring Ct, Springfield, VA 22152-2242 | 2014-01-21 |
| 1982984142 | Frank Nelson Turner | Internal Medicine | 2260 Marcola Rd, Springfield, OR 97477-2594 | 2011-08-19 |
| 1447404561 | Pulmonary Specialists of The Ozarks, LLC | Internal Medicine | 2733 E Battlefield Rd, Springfield, MO 65804 | 2008-11-17 |
| 1023027281 | Walter S. Trombold | Internal Medicine | 3850 S National Ave Ste 510, Springfield, MO 65807-5292 | 2006-08-05 |
| 1871532283 | Edward Gwin | Internal Medicine | 1342 E Primrose St, Springfield, MO 65804-4279 | 2006-06-05 |
| 1801834395 | Thirupaimaruth K Raman | Internal Medicine | 222 Carew Street, 2nd Floor, Springfield, MA 01104-4103 | 2006-06-04 |
| 1629070693 | Brent D Bergen | Internal Medicine | 3800 S National Ave Ste 510, Springfield, MO 65807-5284 | 2005-08-10 |
| 1871081166 | Michele L Potter | Internal Medicine | 221 Northcrest Dr, Springfield, TN 37172-3962 | 2018-04-23 |
| 1316477508 | Muath Alsharif | Internal Medicine | 751 N Rutledge St Ste 2100, Springfield, IL 62702-4968 | 2017-06-19 |
| 1730610650 | Hampden Pulmonary and Sleep Medicine LLC | Internal Medicine | 2150 Main St, Springfield, MA 01104-3566 | 2017-03-22 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 37172 |
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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.