DR. THOMAS COZATT JACKSON JR. (NPI# 1306818968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306818968 |
| Entity Type | Individual |
| Full Name | DR. THOMAS COZATT JACKSON JR. |
| Credential | MD |
| Practice Address |
470 Linden Ave Harrodsburg KY 40330-1871 |
| Mailing Address |
470 Linden Ave Ste 3-4 Harrodsburg KY 40330-1871 |
| Practice Telephone | 8597344307 |
| Practice Fax Number | 8597344300 |
| Mailing Telephone | 8597344307 |
| Mailing Fax Number | 8597344300 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 29222 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64292220 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811463334 | Thomas Spencer Jackson | Dentist | 1507 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 | 2018-10-23 |
| 1255698759 | Thomas Jackson | Social Worker | 5240 Creed Dr, Summerfield, NC 27358-8284 | 2012-04-20 |
| 1851628549 | Thomas W Jackson | Dentist | 8160 Perry Hwy, Pittsburgh, PA 15237-5214 | 2009-11-17 |
| 1134380694 | Thomas Michael Jackson | Emergency Medicine | 7 Bitterroot Road, Carmen, ID 83462 | 2008-06-18 |
| 1528181666 | Thomas Burton Jackson | Psychiatry & Neurology | 41750 Rancho Las Palmas Dr Ste D2, Rancho Mirage, CA 92270-5512 | 2007-04-06 |
| 1992827398 | Thomas Jackson | Social Worker | 228 Maple St, Middlebury, VT 05753-1606 | 2007-04-04 |
| 1528117306 | Thomas Boyd Jackson | Social Worker | 5225 Baysdon Cir, Jackson Consultant Services, LLC, Indianapolis, IN 46235-6040 | 2007-01-09 |
| 1245330950 | Thomas E Jackson | Internal Medicine | 47 Maple St #205, Summit, NJ 07901 | 2006-09-23 |
| 1679590137 | Thomas W Jackson | Psychiatry & Neurology | 3010 Beard Rd., Napa, CA 94558 | 2006-07-17 |
| 1154308997 | Thomas L Jackson | Specialist | 2450 N Park Dr, Columbus, IN 47203-2216 | 2005-12-22 |
| Street Address |
470 LINDEN AVE |
| City | HARRODSBURG |
| State | KY |
| Zip Code | 40330-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134643570 | Ephraim Mcdowell Haggin Physicians LLC | Physician Assistant | 470 Linden Ave, Harrodsburg, KY 40330-1871 | 2017-07-27 |
| 1881082022 | The James B. Haggin Memorial Hospital Inc. | Internal Medicine | 470 Linden Ave, Suite 8, Harrodsburg, KY 40330-1871 | 2014-12-22 |
| 1396083325 | The James B. Haggin Memorial Hospital Inc. | Internal Medicine | 470 Linden Ave, Harrodsburg, KY 40330 | 2013-01-25 |
| 1013106186 | Mercer Medical Associates Psc | Family Medicine | 470 Linden Ave, Suite 3, Harrodsburg, KY 40330-1871 | 2007-10-15 |
| 1356563811 | Rebecca L Durbin | Physician Assistant | 470 Linden Ave, Harrodsburg, KY 40330-1871 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645559 | Isaiah House Inc | Substance Abuse Rehabilitation Facility | 5866 Bohon Rd, Harrodsburg, KY 40330 | 2018-10-18 |
| 1760964514 | Ephraim Mcdowell Regional Medical Center, Incorporated | Durable Medical Equipment & Medical Supplies | 470 Linden Ave Ste 1, Harrodsburg, KY 40330 | 2018-08-29 |
| 1801225206 | Mercer County Health Department | Public Health or Welfare | 900 North College Street, Harrodsburg, KY 40330 | 2013-11-06 |
| 1902146277 | Ephraim Mcdowell Health Resource, Inc | Internal Medicine | 470 Linden Ave Ste 7, Harrodsburg, KY 40330 | 2013-02-25 |
| 1972815942 | Melanie Suzanne Hutti | Occupational Therapist | 853 W. Lexington Ave., Harrodsburg, KY 40330 | 2010-07-07 |
| 1821276338 | Blue Grass Community Action Partnership, Inc | Respite Care | Mercer County Adult Day Care, 1475 Louisville Road, Harrodsburg, KY 40330 | 2008-02-06 |
| 1457535973 | Active Body Chiropractic and Injury Center Pllc | Chiropractor | 507 Joseph Dr., Ste. 4, Harrodsburg, KY 40330 | 2007-12-19 |
| 1598947178 | Peggy E Kessler | Counselor | 712 Perryville Road, Harrodsburg, KY 40330 | 2007-12-05 |
| 1891994455 | Dr. Tammy G. Hoskins Optometry Psc | Optometrist | Harrodsburg Eye Center, 201 S Main St, Harrodsburg, KY 40330 | 2007-07-13 |
| 1508064171 | Angela Craig Logdon | Speech-Language Pathologist | 2200 Bohon Rd, Harrodsburg, KY 40330 | 2007-07-05 |
| Find all providers in zip 40330 | ||||
| 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 |
|---|---|---|---|---|
| 1518507193 | Samantha Lee Goodin | Family Medicine | 2051 Bruners Chapel Rd, Harrodsburg, KY 40330-9434 | 2020-01-10 |
| 1780883728 | Michael D Rankin | Family Medicine | 188 Harrodsburg Rd, Blythewood, Harrodsburg, KY 40330-0188 | 2007-07-11 |
| 1336121441 | Randall Allen Wilson | Family Medicine | 106 Commercial Dr, Harrodsburg, KY 40330-1084 | 2005-11-15 |
| 1235613340 | Kara Osburn | Family Medicine | 844 S College St, Harrodsburg, KY 40330-2140 | 2018-09-25 |
| 1689166274 | The James B. Haggin Memorial Hospital Inc. | Family Medicine | 1509 Louisville Rd, Harrodsburg, KY 40330-8622 | 2018-05-31 |
| 1265826911 | Courtney Maiden | Family Medicine | 466 Linden Ave, Harrodsburg, KY 40330 | 2015-03-20 |
| 1013106186 | Mercer Medical Associates Psc | Family Medicine | 470 Linden Ave, Suite 3, Harrodsburg, KY 40330-1871 | 2007-10-15 |
| 1174678643 | Ephraim Mcdowell Health Resource, Inc. | Family Medicine | 1509 Louisville Rd, Harrodsburg, KY 40330-8622 | 2007-01-24 |
| 1013969849 | Richard Myron Dartt | Family Medicine | 106 Commercial Dr, Harrodsburg, KY 40330-1084 | 2006-05-17 |
| 1609868033 | Steven Hall | Family Medicine | 466 Linden Ave, Harrodsburg, KY 40330-1841 | 2005-08-22 |
| Find all providers in HARRODSBURG | ||||
| City | HARRODSBURG |
| Zip Code | 40330 |
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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.