DR. MICHAEL S JACKSON (NPI# 1194755793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194755793 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL S JACKSON |
| Credential | MD |
| Practice Address |
620 S Madison St Ste 304 Enid OK 73701-7270 |
| Mailing Address |
5300 N Independence Ave 280 Oklahoma City OK 73112-5556 |
| Practice Telephone | 5802336350 |
| Practice Fax Number | 5802336106 |
| Mailing Telephone | 5802336350 |
| Mailing Fax Number | 5802336106 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 30290 | OK | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 04-28958 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100387680H | 05 | |
| KS | 100387680A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345346 | Michael Frederick Jackson | Massage Therapist | 12702 E 33rd Ct, Spokane Valley, WA 99206-8372 | 2020-08-04 |
| 1295372993 | Michael Jackson | Chiropractor | 5216 Cold Springs Way, Eugene, OR 97405-5213 | 2019-12-02 |
| 1801365382 | Michael Jackson | Durable Medical Equipment & Medical Supplies | 5537b N Glenwood St Ste B, Garden City, ID 83714-1336 | 2018-11-14 |
| 1114441375 | Michael Frank Jackson Jr. | Physical Therapist | 1806 Russell Pkwy Ste 1400, Warner Robins, GA 31088-5781 | 2017-07-31 |
| 1457809931 | Michael Jackson | Counselor | 10001 W. Grand Avenue, Franklin Park, IL 60131 | 2016-09-14 |
| 1639625833 | Michael Jackson | Counselor | 128 Mute Swan Place, Newark, DE 19711 | 2016-08-28 |
| 1467823104 | Michael Jackson | Occupational Therapy Assistant | 1913 N Oakes St Apt D, Tacoma, WA 98406-7527 | 2015-10-07 |
| 1831576651 | Michael Howard Jackson | Family Medicine | 4646 Nw Fielding Road, Topeka, KS 66618 | 2015-04-30 |
| 1063809846 | Michael Jackson | Social Worker | 43518 Champlain Ct, Canton, MI 48188-1711 | 2015-04-20 |
| 1780922872 | Michael A Jackson | Pharmacist | 585 Mcwilliams Rd Se Unit 2303, Atlanta, GA 30315-7571 | 2013-01-23 |
| Street Address |
620 S MADISON ST STE 304 |
| City | ENID |
| State | OK |
| Zip Code | 73701-7270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992151948 | Andrea Partida | Obstetrics & Gynecology | 620 S Madison St Ste 304, Enid, OK 73701-7270 | 2016-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318595 | Sheila Watkins | Speech-Language Pathologist | 401 S. 3rd St, Physical Therapy, Enid, OK 73701 | 2019-04-05 |
| 1225548993 | Mirannda Lea Shourek | Case Manager/Care Coordinator | 3225 E Randolph, Apt 5a, Enid, OK 73701 | 2017-10-06 |
| 1962942045 | Nicole Elisibeth Hood | Social Worker | 605 W. Oxford St, Enid, OK 73701 | 2017-03-08 |
| 1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
| 1134576952 | Keli Lanee Caffey | Counselor | 317 W. Cherokee Suite B, Enid, OK 73701 | 2016-05-22 |
| 1447670559 | Tamica Webster | Counselor | 1137 Hillside Dr, Enid, OK 73701 | 2014-04-16 |
| 1881024024 | Misty Ward | Registered Nurse | 600 S. Monroe, Enid, OK 73701 | 2013-11-26 |
| 1164856944 | Pharmcareok of Enid, Inc. | Pharmacy | 1119a E Owen Garriott Rd, Enid, OK 73701 | 2013-08-28 |
| 1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
| 1194009324 | Stacia Paul | Counselor | 121 W. Maple, Enid, OK 73701 | 2011-10-06 |
| Find all providers in zip 73701 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548389240 | Christopher Marcus Lee | Obstetrics & Gynecology | 615 E Oklahoma Ave Ste 203, Enid, OK 73701-5952 | 2007-03-27 |
| 1720087869 | Daniel E Oathout | Obstetrics & Gynecology | 620 S Madison St, Suite 301, Enid, OK 73701-7270 | 2005-07-20 |
| 1538168679 | Michelle R Bergner | Obstetrics & Gynecology | 601 W Garriott Rd, Enid, OK 73701-5524 | 2005-07-20 |
| 1245233246 | David D Parker | Obstetrics & Gynecology | 615 E Oklahoma Ave, Suite 203, Enid, OK 73701-5951 | 2005-05-23 |
| 1992151948 | Andrea Partida | Obstetrics & Gynecology | 620 S Madison St Ste 304, Enid, OK 73701-7270 | 2016-05-09 |
| 1114165586 | Dmac,pllc | Obstetrics & Gynecology | 615 E Oklahoma Ave, 203, Enid, OK 73701-5951 | 2009-01-23 |
| 1851586721 | Keelie Renee Tucker | Obstetrics & Gynecology | 620 S Madison St, Suite 203, Enid, OK 73701-7273 | 2007-09-12 |
| 1306894639 | Enid Womens Healthcare Associates | Obstetrics & Gynecology | 615 E Oklahoma Ave, Ste 203, Enid, OK 73701-5951 | 2006-05-05 |
| 1386612711 | Terry King Badzinski | Obstetrics & Gynecology | 615 E Oklahoma Ave, Suite 203, Enid, OK 73701-5951 | 2006-03-10 |
| 1790785202 | David M Keuchel | Obstetrics & Gynecology | 620 S Madison St, Suite 203, Enid, OK 73701-7273 | 2005-07-26 |
| Find all providers in ENID | ||||
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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.