DR. KATHY JO JACKSON (NPI# 1306914296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306914296 |
| Entity Type | Individual |
| Full Name | DR. KATHY JO JACKSON |
| Credential | M.D. |
| Practice Address |
117 W Paterson St Kalamazoo MI 49007-2557 |
| Mailing Address |
1003 Pinehurst Blvd Kalamazoo MI 49006-2110 |
| Practice Telephone | 2693492641 |
| Practice Fax Number | 2693492898 |
| Mailing Telephone | 2693492641 |
| Mailing Fax Number | 2693492898 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 070748 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255940391 | Kathy Lorine Jackson | Technician | 2504 Toms Creek Rd, Wayne, WV 25570-9458 | 2020-07-24 |
| 1790175354 | Kathy Jackson | Massage Therapist | 850 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814-4903 | 2015-02-03 |
| 1861835860 | Kathy Melton Jackson | Registered Nurse | 6051 Wescott Rd, Columbia, SC 29212-1408 | 2013-04-10 |
| 1619283595 | Kathy L Jackson | Private Vehicle | 15685 N Iron Bridge Rd, Marshall, IL 62441-4663 | 2010-08-30 |
| 1215971379 | Kathy M Jackson | Family Medicine | 502 W Central Ave, La Follette, TN 37766-3400 | 2006-06-16 |
| 1740795285 | Kathy Joy Jackson | Social Worker | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2017-12-06 |
| 1154728319 | Kathy Lacole Jackson | Public Health or Welfare | 151 E Wood St, Spartanburg, SC 29303-3016 | 2014-12-03 |
| 1255689337 | Kathy Lynn Jackson | Counselor | 7611 Saint Vincent Ave, Shreveport, LA 71106-4231 | 2012-08-21 |
| 1104088749 | Kathy Jackson | Physical Therapist | 714 W Grove St, El Dorado, AR 71730-4416 | 2008-06-25 |
| 1811060379 | Kathy Jackson | Physical Therapist | 10820 Marvin E. Jones Blvd., Live Oak, FL 32060 | 2006-11-15 |
| Street Address |
117 W PATERSON ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007-2557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790755270 | Steven M Pollens | Family Medicine | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2006-01-25 |
| 1639782618 | Nathalie Peterson | Occupational Therapist | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2020-08-28 |
| 1972111060 | Susan Michelle Pickett | Dental Hygienist | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2020-07-15 |
| 1265076798 | Ellen Mbungu | Social Worker | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2019-10-28 |
| 1578105334 | Prabhjot Grewal | Nurse Practitioner | 117 W Paterson St, Kalamazoo, MI 49007-2581 | 2019-10-14 |
| 1588219166 | Lindsey Rose Thelen | Social Worker | 117 W Paterson St, Kalamazoo, MI 49007-2581 | 2019-08-09 |
| 1093369571 | Savahna Nicole Mason | Social Worker | 117 W Paterson St, Kalamazoo, MI 49007-2581 | 2019-08-01 |
| 1548813181 | Rebecca Dodson | Dental Hygienist | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2019-07-23 |
| 1467010470 | Mary Catherine Rose | Social Worker | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2019-06-04 |
| 1053977637 | Mosab Aziz | Occupational Therapist | 117 W Paterson St, Kalamazoo, MI 49007-2581 | 2019-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
| 1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
| Find all providers in zip 49007 | ||||
| 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 |
|---|---|---|---|---|
| 1700265816 | Elizabeth Haworth-hoeppner | Pediatrics | 601 John St # 55, Kalamazoo, MI 49007-5341 | 2015-05-21 |
| 1083873889 | Elizabeth Farner | Pediatrics | 2715 Taliesin Dr, Kalamazoo, MI 49008-2014 | 2008-06-06 |
| 1306953542 | Sunil John | Pediatrics | 601 John St Ste M-351, Kalamazoo, MI 49007 | 2006-08-24 |
| 1215946199 | Sandhya Sood-mcmillen | Pediatrics | 8088 Vineyard Pkwy, Kalamazoo, MI 49009-3892 | 2006-08-07 |
| 1003861311 | Nancy J Hilleren | Pediatrics | 714 N 9th St, Kalamazoo, MI 49009-6566 | 2006-05-24 |
| 1942250329 | Melissa Marie Houser | Pediatrics | 601 John St Ste M-352, Kalamazoo, MI 49007 | 2006-05-10 |
| 1508815689 | Jacob M Weintraub | Pediatrics | 151 S Rose, 5th Floor, Kalamazoo, MI 49007 | 2006-05-08 |
| 1033199674 | Randall L Dyk | Pediatrics | 5629 Stadium Dr, Kalamazoo, MI 49009-1952 | 2006-01-19 |
| 1083134795 | Cinthya G. Melendez Contreras | Pediatrics | 117 W Paterson St, Kalamazoo, MI 49007-2581 | 2017-06-23 |
| 1457713901 | Alejandro Zamudio | Pediatrics | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2016-03-23 |
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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.