DR. GREGORY MANN JACKSON (NPI# 1184738825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184738825 |
| Entity Type | Individual |
| Full Name | DR. GREGORY MANN JACKSON |
| Credential | M.D. |
| Practice Address |
4220 Mccullough Ave San Antonio TX 78212-1910 |
| Practice Telephone | 2108290700 |
| Practice Fax Number | 2108290714 |
| Mailing Telephone | 2108290700 |
| Mailing Fax Number | 2108290714 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2010-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | F5584 | TX | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295194124 | Gregory L Jackson | Social Worker | 342 W Progress Rd, Prentiss, MS 39474-5221 | 2016-02-20 |
| 1811170293 | Gregory Emory Jackson | Pharmacist | 526 W 30th Street, Ny, NY 10001 | 2007-12-09 |
| 1801970769 | Gregory Wayne Jackson | Dentist | 6435 S Pulaski Rd, Chicago, IL 60629-5148 | 2006-10-25 |
| 1134158009 | Gregory Alan Jackson | Physical Therapist | 5501 Swift Rd, Sarasota, FL 34231-6209 | 2006-07-02 |
| 1982640090 | Gregory R Jackson | Radiology | 800 Mercy Hospital, Alegent Mercy Hospital, Council Bluffs, IA 51503 | 2006-06-20 |
| 1356306203 | Gregory Lee Jackson | Specialist/Technologist | 3821 Everetts Dl, Lexington, KY 40514-1185 | 2006-04-20 |
| 1568092088 | Gregory Christopher Jackson | Psychologist | 4141 Geary Blvd, San Francisco, CA 94118-3109 | 2020-01-23 |
| 1346747110 | Gregory Jackson | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-0004 | 2018-04-09 |
| 1285167304 | Gregory M. Jackson II | Nurse Practitioner | 8600 Wurzbach Rd, Suite 1110, San Antonio, TX 78240-4330 | 2017-04-05 |
| 1942651708 | Gregory Jackson | Physical Therapy Assistant | 9685 Chillicothe Rd, Kirtland, OH 44094-8503 | 2016-06-23 |
| Street Address |
4220 MCCULLOUGH AVE |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861670994 | Gregory M Jackson, Md, Pa | Family Medicine | 4220 Mccullough Ave, San Antonio, TX 78212-1910 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| 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 |
|---|---|---|---|---|
| 1568904175 | Ashlee Anderjeski | Specialist | 10218 Castello Cyn, San Antonio, TX 78254-4551 | 2016-11-14 |
| 1831641059 | Lone Star Cardiovascular Center Pllc | Specialist | 9130 Wurzbach Rd Ste 104, San Antonio, TX 78240-1070 | 2016-11-04 |
| 1851753396 | Coral Ramirez Camacho | Specialist | 7827 Clos Du Bois, San Antonio, TX 78253-4880 | 2016-03-23 |
| 1174984371 | Crossover Health | Specialist | 3838 Rogers Rd, San Antonio, TX 78251-3662 | 2016-03-15 |
| 1033585948 | Job Adventures | Specialist | 4606 Centerview Ste 200, San Antonio, TX 78228-1205 | 2015-08-14 |
| 1790168417 | San Antonio Head & Neck Surgical Associates | Specialist | 926 Booklyn Ave, San Antonio, TX 78215-1637 | 2015-06-30 |
| 1255738514 | Amy Beth Flores | Specialist | 7134 Washita Way, San Antonio, TX 78256-2339 | 2014-12-01 |
| 1730582263 | Womens Center At Westover Hills | Specialist | 1315 N. Ellison Dr., San Antonio, TX 78251 | 2014-09-29 |
| 1811396799 | Intravascular Access Team | Specialist | 8415 Fredericksburg Rd, Unit 906, San Antonio, TX 78229-3173 | 2014-08-17 |
| 1497164990 | Next Generation Orthopedic & Spine Institute, Pllc | Specialist | 1626 Lockhill Selma Rd, Suite 2, San Antonio, TX 78213-1929 | 2014-08-08 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
Please comment or provide details below to improve the information on DR. GREGORY MANN 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.