BRADLEY S JACKSON (NPI# 1265495329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265495329 |
Entity Type | Individual |
Full Name | BRADLEY S JACKSON |
Credential | M.D |
Practice Address |
5386 Cox Smith Rd Suite A Mason OH 45040-9289 |
Practice Telephone | 5137703466 |
Practice Fax Number | 5137703467 |
Mailing Telephone | 5137703466 |
Mailing Fax Number | 5137703467 |
Enumeration Date | 2006-04-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 060290 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 827681 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699217778 | Bradley Kent Jackson | Psychologist | 13123 E 16th Ave # 245, Aurora, CO 80045-7106 | 2016-11-07 |
1124206487 | Bradley A Jackson | Radiology | 300 Pasteur Dr, Room H3630, Mc: 5642, Stanford University Med Ctr, Dept. of Int. Radiology, Stanford, CA 94305-5642 | 2008-02-07 |
1700285665 | Bradley Jackson | Specialist/Technologist | 1501 Lakeside Dr, Lynchburg, VA 24501-3113 | 2014-08-16 |
1467738195 | Bradley Jackson | Case Manager/Care Coordinator | 634 W Main St, Blytheville, AR 72315-3336 | 2011-10-26 |
1487940243 | Bradley Stevens Jackson | Emergency Medicine | 3901 Rainbow Blvd, Kansas City, KS 66103-2937 | 2011-06-21 |
1578869475 | Bradley Daniel Jackson | Nurse Anesthetist, Certified Registered | 4901 Grande Dr, Pensacola, FL 32504-5935 | 2011-02-10 |
1376787705 | Bradley A Jackson | Physical Therapist | 3135 Us Highway 41 W, Marquette, MI 49855-9494 | 2009-04-29 |
1285854737 | Bradley C Jackson | Hearing Instrument Specialist | 2969 Highway K, O Fallon, MO 63368-7862 | 2007-04-26 |
1750362885 | Bradley D Jackson | Chiropractor | 1261 S Main St, Meadville, PA 16335-3034 | 2005-11-07 |
Street Address |
5386 COX SMITH RD SUITE A |
City | MASON |
State | OH |
Zip Code | 45040-9289 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952364424 | Thomas A Roesch | Pediatrics | 5386 Cox Smith Rd, Suite A, Mason, OH 45040-9289 | 2006-04-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336633882 | Jarek Beegan | Specialist/Technologist, Other | 8188 Corporate Way, Mason, OH 45040 | 2018-06-19 |
1548771439 | Jeanene Gibson | Registered Nurse | 9945 Coventry Court, Mason, OH 45040 | 2017-10-18 |
1093249898 | Peace of Mind Care Services, Inc. | Community/Behavioral Health | 5180 Cedar Village Drive, Suite A, Mason, OH 45040 | 2017-04-18 |
1477938736 | Justin William Florek | Chiropractor | 6213 Snider Road, Mason, OH 45040 | 2015-07-28 |
1730562729 | Alexandra Courts | Physical Therapist | 5267 Joseph Ln, Mason, OH 45040 | 2015-07-08 |
1982083531 | Nicole Roether | Specialist/Technologist | 5236 Socialville-foster Road, Mason, OH 45040 | 2015-05-28 |
1568849123 | Alissa Marie Conde | Pediatrics | 9560 Children's Drive, Mason, OH 45040 | 2015-05-04 |
1205220696 | Elizabeth Barnes | Pain Medicine | 3611 Socialville-foster Rd, Suite 101, Mason, OH 45040 | 2015-03-24 |
1669864807 | Lang Truong | Pharmacist | 5542 Red Fox Ct, Mason, OH 45040 | 2015-02-25 |
1295133668 | Gregory Carr | Psychologist | 4569 Wesley Ct, Mason, OH 45040 | 2014-12-16 |
Find all providers in zip 45040 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841432416 | Aimee Michelle Reeder | Pediatrics | 9600 Children Dr Bldg D, Suite 100, Mason, OH 45040-6791 | 2009-03-29 |
1306056015 | Kristin L Kaltenstadler | Pediatrics | 9600 Children Dr, Mason, OH 45040-6791 | 2007-05-23 |
1457415390 | Kathryn Ellen Omalley | Pediatrics | 608 Reading Rd Ste D, Mason, OH 45040-1561 | 2006-12-21 |
1316001258 | Todd David Habel | Pediatrics | 6400 Thornberry Ct Ste 610, Mason, OH 45040-7818 | 2006-12-21 |
1083662886 | Thanh T Truong | Pediatrics | 5126 Butler Warren Rd, Mason, OH 45040-1241 | 2006-05-04 |
1952364424 | Thomas A Roesch | Pediatrics | 5386 Cox Smith Rd, Suite A, Mason, OH 45040-9289 | 2006-04-07 |
1942271390 | Robert E Dempsey | Pediatrics | 585 Jewett Rd, Mason, MI 48854-8729 | 2006-02-01 |
1043210388 | Balzer C. Sandrock | Pediatrics | 8185 Corporate Way, Mason, OH 45040-9335 | 2005-07-28 |
1942801022 | Chmc Community Health Services Network | Pediatrics | 9600 Children Dr Bldg D, Mason, OH 45040-6791 | 2020-11-04 |
1982081931 | Benjamin Terrence Minick | Pediatrics | 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2015-04-29 |
Find all providers in MASON |
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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.