MR. THOMAS WILLIAM JACKSON (NPI# 1326083320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326083320 |
| Entity Type | Individual |
| Full Name | MR. THOMAS WILLIAM JACKSON |
| Credential | MD |
| Practice Address |
4444 Magnolia Avenue Riverside CA 92501-4136 |
| Practice Telephone | 9516825661 |
| Practice Fax Number | 9516863758 |
| Mailing Telephone | 9516825661 |
| Mailing Fax Number | 9516863758 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2012-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G49810 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZZ9647Z9 | 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 |
| 1306818968 | Thomas Cozatt Jackson Jr. | Family Medicine | 470 Linden Ave, Harrodsburg, KY 40330-1871 | 2006-02-07 |
| Street Address |
4444 MAGNOLIA AVENUE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861436602 | Christopher H Fleming | Orthopaedic Surgery | 4444 Magnolia Avenue, Riverside, CA 92501-4136 | 2006-06-15 |
| 1013952001 | Brian D Hild | Orthopaedic Surgery | 4444 Magnolia Avenue, Riverside, CA 92501-4136 | 2006-06-17 |
| 1508801507 | David E Smalley | Orthopaedic Surgery | 4444 Magnolia Avenue, Riverside, CA 92501-4136 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142067 | San Bernardino Medical Orthopaedic Gro | Orthopaedic Surgery | 4500 Brockton Ave Ste 306, Riverside, CA 92501-4027 | 2020-10-22 |
| 1609018464 | Brian Yost Do, Inc | Orthopaedic Surgery | 4510 Brockton Ave Ste 375, Riverside, CA 92501-4020 | 2009-03-25 |
| 1205095643 | Orthopaedic Surgery Medical Group | Orthopaedic Surgery | 4156 10th St, Riverside, CA 92501-3181 | 2008-06-02 |
| 1275737280 | John Anthony Kuri II | Orthopaedic Surgery | 4510 Brockton Ave, Suite 175, Riverside, CA 92501-4015 | 2007-06-13 |
| 1861436602 | Christopher H Fleming | Orthopaedic Surgery | 4444 Magnolia Avenue, Riverside, CA 92501-4136 | 2006-06-15 |
| 1164407391 | Thomas Mark Hartley | Orthopaedic Surgery | 4444 Magnolia Ave, Riverside, CA 92501 | 2005-12-09 |
| 1013913573 | Michael J Hejna | Orthopaedic Surgery | 353 E Burlington St, Ste 100, Riverside, IL 60546-2082 | 2005-06-21 |
| 1811992183 | Jack H Akmakjian | Orthopaedic Surgery | 7300 Magnolia Ave, Riverside, CA 92504-3810 | 2005-06-14 |
| 1073518353 | Neil J. Halbridge | Orthopaedic Surgery | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2005-06-14 |
| 1164915716 | Orthopaedic Medical Group of Riverside, Inc. | Orthopaedic Surgery | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2018-06-08 |
| Find all providers in RIVERSIDE | ||||
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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.