DR. RICHARD WAYNE JACKSON (NPI# 1245236769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245236769 |
| Entity Type | Individual |
| Full Name | DR. RICHARD WAYNE JACKSON |
| Credential | M.D. |
| Practice Address |
6920 Gatwick Dr Ste 200 Indianapolis IN 46241-9504 |
| Practice Telephone | 3174551064 |
| Practice Fax Number | 3174551204 |
| Mailing Telephone | 3174551064 |
| Mailing Fax Number | 3174551204 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2016-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 01028135 | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629520770 | Richard Allen Jackson | Social Worker | 201 W Laurel St, Brainerd, MN 56401-3902 | 2016-10-25 |
| 1386924363 | Richard Ray Jackson | Social Worker | 104 S Ridge Ave, Troy, OH 45373-2704 | 2011-08-23 |
| 1124240197 | Richard Jackson | Psychologist | 2650 West 2700 South, Syracuse, UT 84075 | 2007-05-02 |
| 1508081993 | Richard Jackson | Psychiatry & Neurology | E 4111 Andover Road Suite 220, Bloomfield Hills, MI 48302 | 2007-04-13 |
| 1851478101 | Richard Jackson | Pharmacist | 420 Delaware St Se # Mmc812, Minneapolis, MN 55455-0341 | 2006-11-01 |
| 1972616134 | Richard Pharus Jackson | Optometrist | 216 W Washington St, Anthony, TX 79821-9304 | 2006-08-15 |
| 1801810163 | Richard Edwin Jackson | Dentist | 109 Timbermill Dr, Lexington, SC 29073-7138 | 2006-07-27 |
| 1366483406 | Richard D Jackson | Family Medicine | 29 Eastbrook Rd, Ronks, PA 17572-9769 | 2006-06-09 |
| 1659328060 | Richard Jackson | Emergency Medicine | 505 Regency Xing, Southlake, TX 76092-9501 | 2006-05-30 |
| 1174587505 | Richard E Jackson | Physician Assistant | 21260 Olean Blvd Ste 200, Port Charlotte, FL 33952-6742 | 2006-04-13 |
| Street Address |
6920 GATWICK DR STE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46241-9504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184160665 | Ryan Salata | Physical Therapist | 6920 Gatwick Dr, Suite 120, Indianapolis, IN 46241-9504 | 2017-01-09 |
| 1205294907 | Central Indiana Orthopedics, PC | Orthopaedic Surgery | 6920 Gatwick Dr, Suite 200, Indianapolis, IN 46241-9504 | 2016-02-09 |
| 1114301470 | Adam Michael Mccormick | Physician Assistant | 6920 Gatwick Dr, Suite 200, Indianapolis, IN 46241-9504 | 2015-07-16 |
| 1609274885 | Mcjr LLC | Orthopaedic Surgery | 6920 Gatwick Dr, Suite 200, Indianapolis, IN 46241-9504 | 2014-12-19 |
| 1386076024 | Marcus Vincent Rinaldi | Physical Therapist | 6920 Gatwick Dr, Ste 120, Indianapolis, IN 46241-9504 | 2013-08-05 |
| 1356693022 | Kiley Hewson | Physician Assistant | 6920 Gatwick Dr, Suite 200, Indianapolis, IN 46241-9504 | 2012-10-05 |
| 1073755617 | Joshua Lee Carter | Orthopaedic Surgery | 6920 Gatwick Dr, Suite 200, Indianapolis, IN 46241-9504 | 2009-03-28 |
| 1194904557 | Lauren C Stokes | Physician Assistant | 6920 Gatwick Dr, Suite 200, Indianapolis, IN 46241-9504 | 2007-11-01 |
| 1033314984 | Wesley Grayson Lackey | Orthopaedic Surgery | 6920 Gatwick Dr, Suite 200, Indianapolis, IN 46241-9504 | 2007-06-20 |
| 1376761379 | Sheri Wahl | Physical Therapy Assistant | 6920 Gatwick Dr, Ste 120, Indianapolis, IN 46241-9504 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062511 | Indy Medical Trans LLC | Non-emergency Medical Transport (VAN) | 4948 W Washington St, Indianapolis, IN 46241 | 2020-10-29 |
| 1760081525 | After Action Medical and Dental Supply, LLC | Durable Medical Equipment & Medical Supplies | 4444 Decatur Blvd., Suite 100, Indianapolis, IN 46241 | 2020-10-22 |
| 1659841880 | Dependency Medical Holdings Corporation | Family Medicine | 5600 W Bradbury Ave, Indianapolis, IN 46241 | 2018-11-30 |
| 1255872073 | Phoenix Family and Community Services, LLC | Case Management | 2346 S. Lynhurst Dr. Suite 601, Indianapolis, IN 46241 | 2017-03-13 |
| 1811022114 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 6920 Gatwick Drive, Suite 100, Indianapolis, IN 46241 | 2007-02-23 |
| 1912073107 | Kathryn Charlotte Gregor | Occupational Therapy Assistant | 5603 W Raymond St, Indianapolis, IN 46241 | 2006-11-28 |
| 1184790347 | Sandee Jo Schultheis | Physical Therapy Assistant | 5603 West Raymond St, Suite A, Indianapolis, IN 46241 | 2006-11-28 |
| 1346899077 | Lori Heusel | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-09-05 |
| 1720632227 | Nicole Anne Murphy | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-08-01 |
| 1073173209 | Kaylee Posson | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-06-19 |
| Find all providers in zip 46241 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730561291 | Cody Shafer | Orthopaedic Surgery | 1120 W Michigan St Rm 600, Indianapolis, IN 46202-5209 | 2015-06-22 |
| 1134546161 | Kevin A Sonn | Orthopaedic Surgery | 1801 Senate Blvd Ste 535, Indianapolis, IN 46202-1204 | 2014-03-27 |
| 1528403078 | Hannah Abigail Dineen | Orthopaedic Surgery | 8501 Harcourt Rd Dept Of, Indianapolis, IN 46260 | 2013-05-09 |
| 1497980189 | Jason C Watters | Orthopaedic Surgery | 720 Eskenazi Ave., Indianapolis, IN 46202-5166 | 2009-05-25 |
| 1184883571 | David Michael Foulk | Orthopaedic Surgery | 8040 Clearvista Pkwy Ste 500, Indianapolis, IN 46256-5604 | 2008-06-02 |
| 1376701961 | Ripley Worman | Orthopaedic Surgery | 541 Clinical Dr Ste 600, Indianapolis, IN 46202-5233 | 2008-05-30 |
| 1437350634 | David M Doman | Orthopaedic Surgery | 1801 N Senate Blvd Ste 535, Indianapolis, IN 46202-1204 | 2007-05-29 |
| 1588756845 | Orthopaedics-indianapolis, Inc. | Orthopaedic Surgery | 1801 N Senate Blvd Ste 200, Indianapolis, IN 46202-1243 | 2006-09-28 |
| 1588699771 | Herbert Merrill Biel | Orthopaedic Surgery | 7930 N Shadeland Avenue, Indianapolis, IN 46250-2041 | 2006-07-12 |
| 1700810660 | Indiana Orthopaedic Center PC | Orthopaedic Surgery | 7930 N. Shadeland Ave., Indianapolis, IN 46250 | 2006-07-10 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46241 |
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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.