JAMES MARK JACKSON (NPI# 1205830007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205830007 |
| Entity Type | Individual |
| Full Name | JAMES MARK JACKSON |
| Credential | M.D. |
| Practice Address |
501 S 2nd St Louisville KY 40202-1864 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 5025837546 |
| Practice Fax Number | 5025893429 |
| Mailing Telephone | 8666309882 |
| Mailing Fax Number | 9206825810 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2015-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | J8602 | TX | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 31633 | KY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373456 | James Andy Jackson | Counselor | 14239 Charles Pollock Ave, El Paso, TX 79938-3197 | 2020-10-14 |
| 1770905200 | James Jackson | Legal Medicine | 1404 Chandler Rd Se, Huntsville, AL 35801-1406 | 2014-01-17 |
| 1811282247 | James Allen Jackson | Social Worker | 5209 Point Fosdick Dr Nw Ste 205, Gig Harbor, WA 98335 | 2011-06-14 |
| 1154656460 | James Bruce Jackson | Surgery | 2004 Lexington Ave, Mansfield, OH 44907-3024 | 2009-10-05 |
| 1710118625 | James W Jackson | Behavioral Analyst | 1111 N Cedar Rd, New Lenox, IL 60451-1419 | 2009-07-27 |
| 1386843050 | James Andrew Jackson | Dentist | 228 Main St., Nettleton, MS 38858 | 2007-07-13 |
| 1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1518003078 | James Edward Jackson | Social Worker | 736 Se 18th Ave, Ocala, FL 34471-4114 | 2007-01-30 |
| 1871648253 | James Richard Jackson | Physician Assistant | 3403 S Padre Island Dr Ste 301, Corpus Christi, TX 78415-2925 | 2007-01-24 |
| 1891848529 | James Fred Jackson | Dentist | 1193 Pineview Dr, Morgantown, WV 26505-2700 | 2007-01-18 |
| Street Address |
501 S 2ND ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538161583 | Joseph F Fowler Jr. | Dermatology | 501 S 2nd St, Louisville, KY 40202-2862 | 2005-06-02 |
| 1598113433 | Lee Daniel Haas | Nurse Practitioner | 501 S 2nd St, Louisville, KY 40202-2862 | 2016-06-01 |
| 1861897217 | Forefront Dermatology, S.c. | Dermatology | 501 S 2nd St, Louisville, KY 40202 | 2014-10-28 |
| 1487996633 | Todd A Rickett | Dermatology | 501 S 2nd St, Louisville, KY 40202-2862 | 2013-03-25 |
| 1891042073 | Lindsay Chaput | Nurse Practitioner | 501 S 2nd St, Louisville, KY 40202-2862 | 2012-08-07 |
| 1881985067 | Margaret 'molly' Spratt Moye | Dermatology | 501 S 2nd St, Louisville, KY 40202-2862 | 2011-04-22 |
| 1558525485 | Megan N Landis | Dermatology | 501 S 2nd St, Louisville, KY 40202-2862 | 2008-07-10 |
| 1720246614 | Melissa Jo Wise | Dermatology | 501 S 2nd St, Louisville, KY 40202-2862 | 2008-05-28 |
| 1578787735 | Kevin W O'bryan | Dermatology | 501 S 2nd St, Louisville, KY 40202-2862 | 2007-04-12 |
| 1013069301 | Dermatology Specialists, Psc | Specialist | 501 S 2nd St, First Floor, Louisville, KY 40202-2862 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225423742 | Virginia Nell Kartha | Dermatology | 3810 Springhurst Blvd Ste 20, Louisville, KY 40241-6162 | 2015-04-01 |
| 1851665038 | Shannon England | Dermatology | 13802 Lake Point Cir, #102, Louisville, KY 40223-4219 | 2012-03-06 |
| 1659640878 | George J. Gataky, P.s.c. | Dermatology | 3 Audubon Plaza Dr Ste 630, Louisville, KY 40217-1362 | 2011-12-16 |
| 1689969735 | Adam C Byrd | Dermatology | 313 N Court Ave, Ummc Dermatology - Louisville Clinic, Louisville, MS 39339 | 2011-06-16 |
| 1578745923 | Margaret K Sparks | Dermatology | 10302 Brookridge Village Blvd, Suite 102, Louisville, KY 40291-4475 | 2007-11-28 |
| 1295924520 | Joseph L Thompson Psc | Dermatology | 4010 Dupont Cir Ste 511, Louisville, KY 40207-4888 | 2007-10-23 |
| 1801083431 | Rana Majd Mays | Dermatology | 241 Sears Ave Ste 103, Louisville, KY 40207 | 2007-09-27 |
| 1407972060 | Garrett M Crabtree | Dermatology | 2005 Lake Point Way, Ste 101, Louisville, KY 40223-4236 | 2007-03-22 |
| 1548273733 | Dermatopathology Alliance of Kentucky Pllc | Dermatology | 839 S 2nd St, Louisville, KY 40203-2209 | 2006-08-15 |
| 1518971142 | Shannon M. Mcallister | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2006-07-28 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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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.