RICHARD E JACKSON (NPI# 1265405211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265405211 |
| Entity Type | Individual |
| Full Name | RICHARD E JACKSON |
| Credential | MD |
| Practice Address |
600 I St Pawnee City NE 68420-3001 |
| Practice Telephone | 4028522011 |
| Mailing Telephone | 4028522011 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2012-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 11970 | NE | 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 |
600 I ST |
| City | PAWNEE CITY |
| State | NE |
| Zip Code | 68420-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972077402 | Jamie Thorson | Physical Therapy Assistant | 600 I St, Pawnee City, NE 68420-3001 | 2019-01-17 |
| 1740772961 | Jessica Marie Ronnebaum | Physical Therapist | 600 I St, Pawnee City, NE 68420-3001 | 2018-06-04 |
| 1558852061 | Lisa Yoble | Physical Therapy Assistant | 600 I St, Pawnee City, NE 68420-3001 | 2018-05-21 |
| 1366958670 | Callin Jae Lenhart | Physical Medicine & Rehabilitation | 600 I St, Pawnee City, NE 68420-3001 | 2017-12-21 |
| 1518488709 | Pawnee County Memorial Hospital | Clinic/Center | 600 I St, Pawnee City, NE 68420-3001 | 2017-06-28 |
| 1942734298 | Kent Joseph Niss | Family Medicine | 600 I St, Pawnee City, NE 68420-3001 | 2017-04-13 |
| 1730448606 | Pawnee County Memorial Hospital | Ambulance | 600 I St, Pawnee City, NE 68420-3001 | 2012-05-11 |
| 1326366345 | Carrie Ann Ramsey | Physician Assistant | 600 I St, Pawnee City, NE 68420-3001 | 2010-05-14 |
| 1861529422 | Pawnee County Ambulance, Inc. | Ambulance | 600 I St, Pawnee City, NE 68420-0000 | 2007-02-28 |
| 1720146343 | Heather C Farwell | Physician Assistant | 600 I St, Pawnee City, NE 68420-3001 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437364601 | John T. Kobza | Dentist | 601 G St., Pawnee City, NE 68420 | 2007-05-11 |
| 1467564617 | Steven Paul Dokken | Dentist | 601 G Street, Pawnee City, NE 68420 | 2006-08-31 |
| 1730518697 | Kobza Dental, PC | Dentist | 601 G Street, Pawnee City, NE 68420 | 2013-11-01 |
| 1174606198 | Petes Pharmacy Inc | Pharmacy | 643 G St, Pawnee City, NE 68420-0072 | 2006-10-23 |
| 1417431859 | Pawnee City Assisted Living Inc. | Assisted Living Facility | 330 12th St., Pawnee City, NE 68420-0463 | 2018-09-21 |
| 1134240294 | Ssc Pawnee City Operating Company LLC | Skilled Nursing Facility | 438 12th St, Pawnee City, NE 68420-3589 | 2007-04-03 |
| 1497132237 | Premier Estates of Pawnee, LLC | Skilled Nursing Facility | 438 12th St, Pawnee City, NE 68420-3589 | 2015-04-30 |
| 1063760254 | Jacqueline Lee Borer | Occupational Therapist | 438 12th St, Pawnee City, NE 68420-3589 | 2012-08-21 |
| 1881819357 | Stan Gene Wiegert | Social Worker | 1045 14th St, Pawnee City, NE 68420-3632 | 2007-04-17 |
| 1649881681 | Pawnee County Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 645 G Street, Pawnee City, NE 68420-6842 | 2020-08-13 |
| Find all providers in zip 68420 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942734298 | Kent Joseph Niss | Family Medicine | 600 I St, Pawnee City, NE 68420-3001 | 2017-04-13 |
| 1144296591 | George R. Voigtlander | Family Medicine | 600 I St, Pawnee City, NE 68420-3001 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898907 | Physician Management Services of Nebraska, LLC | Family Medicine | 2222 S 16th St Ste 435, Lincoln, NE 68502-3793 | 2020-07-14 |
| 1891313706 | Me Urgent Care Nebraska, Inc | Family Medicine | 28800 Ida Cir, Valley, NE 68064-8017 | 2020-07-07 |
| 1356968408 | Joanna Sarah Jacob | Family Medicine | 3601 Jones St Apt 350, Omaha, NE 68105-1526 | 2020-07-05 |
| 1255958443 | Sreelakshmi Surendran Pillai | Family Medicine | 7710 Mercy Road, Suite 202-cu, Department of Family Mediicine, Omaha, NE 68124-2353 | 2020-07-03 |
| 1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
| 1831714062 | Allison Alise Bird | Family Medicine | Family Practice 983075 Nebraska Medical Center, Omaha, NE 68198-3075 | 2020-06-12 |
| 1508486416 | Bluestem Health | Family Medicine | 1500 S 48th St Ste 412, Lincoln, NE 68506-1278 | 2020-04-21 |
| 1285267526 | Banyan Medical Systems | Family Medicine | 8656 F St, Plaza F, Omaha, NE 68127-1639 | 2020-02-14 |
| 1669021796 | Melissa Prickett | Family Medicine | 14000 Hospital Road, Boys Town, NE 68010 | 2019-09-11 |
| 1144888579 | Lexington Regional Health Center | Family Medicine | 1101 Buffalo Bnd Ste A, Lexington, NE 68850-1528 | 2019-05-31 |
| Find all providers with the same taxonomy | ||||
| City | PAWNEE CITY |
| Zip Code | 68420 |
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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.