CAROL A JACKSON (NPI# 1255434825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255434825 |
| Entity Type | Individual |
| Full Name | CAROL A JACKSON |
| Credential | M.D. |
| Practice Address |
361 Hospital Rd Ste 325 Newport Beach CA 92663-3522 |
| Practice Telephone | 9495747744 |
| Practice Fax Number | 9496423686 |
| Mailing Telephone | 9495747744 |
| Mailing Fax Number | 9496423686 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2009-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | G50085 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538660741 | Carol Ann Jackson | Technician | 1310 Jackson Ave, Friona, TX 79035-1322 | 2018-02-22 |
| 1033533351 | Carol Wesslyn Jackson | Case Manager/Care Coordinator | 10150 Celia Berryhill Rd, Okmulgee, OK 74447-9013 | 2014-02-06 |
| 1376826693 | Carol A Jackson | Psychologist | 110 Paseo Del Canon W, Taos, NM 87571-6743 | 2011-09-22 |
| 1154601409 | Carol Frances Jackson | Case Manager/Care Coordinator | 3948 Mt. View Drive, Anchorage, AK 99508 | 2011-08-18 |
| 1457567265 | Carol Mackenzie Jackson | Physician Assistant | 1331 E. Wyoming Avenue, Cancer Treatment Centers of America/eastern Regional Me, Philadelphia, PA 19124 | 2007-05-16 |
| 1801002720 | Carol Dashiell Jackson | Acupuncturist | 4100 Avenue G, Austin, TX 78751-4710 | 2007-05-15 |
| 1467420083 | Carol Diane Jackson | Nurse Practitioner | 712 First Terrace, #200, Lansing, KS 66043-1735 | 2006-03-09 |
| 1538164827 | Carol Jean Jackson | Physical Therapist | 100 N 1st St Ste 103, Step Ahead Physical Therapy, Burbank, CA 91502-1845 | 2005-06-14 |
| 1639674070 | Carol Jackson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2018-03-28 |
| 1306287966 | Carol Anne Jackson | Behavioral Analyst | 1410 14th St, Plano, TX 75074-6302 | 2013-07-11 |
| Street Address |
361 HOSPITAL RD STE 325 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699759555 | Warren H Fong | Internal Medicine | 361 Hospital Rd, Suite 530, Newport Beach, CA 92663-3522 | 2005-12-05 |
| 1598210361 | Z Plastic Surgery Inc | Plastic Surgery | 361 Hospital Rd, Suite 221, Newport Beach, CA 92663-3522 | 2016-08-22 |
| 1447623558 | Guardian Headache & Pain Management Institute | Clinic/Center | 361 Hospital Rd, Suite 324, Newport Beach, CA 92663-3522 | 2015-11-11 |
| 1972973501 | One Brain and Spine Physicians | Orthopaedic Surgery | 361 Hospital Rd, Suite 224, Newport Beach, CA 92663-3522 | 2015-09-25 |
| 1275913683 | Newport Beach Ivf, LLC | Clinical Medical Laboratory | 361 Hospital Rd, Suite 433, Newport Beach, CA 92663-3522 | 2015-06-02 |
| 1346643103 | Jeffrey Larry Topkis, D.o., Inc | Anesthesiology | 361 Hospital Rd, 124, Newport Beach, CA 92663-3522 | 2014-10-07 |
| 1841603859 | Gold Coast Orthopedic & Spine Inc | Specialist | 361 Hospital Rd, Suite 527, Newport Beach, CA 92663-3522 | 2014-06-06 |
| 1699197269 | Uci Department of Medicine | Clinic/Center | 361 Hospital Rd, Newport Beach, CA 92663-3522 | 2014-01-15 |
| 1407289259 | Scott Frederick Lee | Optometrist | 361 Hospital Rd, Suite 327, Newport Beach, CA 92663-3522 | 2013-08-15 |
| 1700124773 | Meera Misra Shukla | Internal Medicine | 361 Hospital Rd, Ste 322, Newport Beach, CA 92663-3522 | 2013-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538678867 | Ent Specialists of Orange County, Inc. | Otolaryngology | 446 Old Newport Blvd Ste 200, Newport Beach, CA 92663-4246 | 2017-09-29 |
| 1225260862 | David R Reinstadler | Otolaryngology | 351 Hospital Rd 305, Newport Beach, CA 92663-3505 | 2009-08-16 |
| 1033387931 | Todd Covington Miller | Otolaryngology | 1501 Superior Ave Ste 301, Newport Beach, CA 92663-3641 | 2008-02-13 |
| 1528287661 | Steven Feinberg | Otolaryngology | 351 Hospital Rd Ste 218, Newport Beach, CA 92663-3505 | 2007-04-25 |
| 1720203904 | Newport Harbor Otology Associates and Ear Medical Group Inc. | Otolaryngology | 901 Dover Dr Ste 205, Newport Beach, CA 92660-5500 | 2007-04-14 |
| 1053491142 | David A Walden Md Inc | Otolaryngology | 320 Superior Ave Ste 380, Newport Beach, CA 92663-2793 | 2006-10-16 |
| 1467482190 | Philip Nicholas Chironis I | Otolaryngology | 361 Hospital Rd Ste 522, Newport Beach, CA 92663-3526 | 2006-07-05 |
| 1447259981 | Simon Joseph Madorsky | Otolaryngology | 180 Newport Center Dr, 158, Newport Beach, CA 92660-6972 | 2005-07-18 |
| 1649275637 | Nazih M. Haddad | Otolaryngology | 400 Newport Center Drive, 704, Newport Beach, CA 92660 | 2005-06-16 |
| 1902291479 | Floyd Buen | Otolaryngology | 351 Hospital Rd Ste 218, Newport Beach, CA 92663-3505 | 2015-04-01 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
Please comment or provide details below to improve the information on CAROL A 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.