NATHAN ANDREW MERL JACKSON (NPI# 1376805812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376805812 |
Entity Type | Individual |
Full Name | NATHAN ANDREW MERL JACKSON |
Credential | D.O. |
Practice Address |
4545 Riverside Dr Ste D Danville VA 24541-5173 |
Practice Telephone | 4347920423 |
Mailing Telephone | 4347920423 |
Enumeration Date | 2012-06-11 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | 1376805821 | VA | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | OT014572 | PA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
501 Howard Ave, Suite F2, Altoona, PA 166014882 | 8148892701 | 8148897864 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053321877 | Nathan W Jackson | Chiropractor | 1008b Pecor St, Oconto, WI 54153-1552 | 2006-08-08 |
1104860055 | Nathan Oscar Jackson | Psychiatry & Neurology | 355c S Madison Blvd, Roxboro, NC 27573-5464 | 2006-06-15 |
Street Address |
4545 RIVERSIDE DR STE D |
City | DANVILLE |
State | VA |
Zip Code | 24541-5173 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104303551 | Damon Lee Simpson | Occupational Therapy Assistant | 1616 Maple Dr, Danville, VA 24541 | 2018-07-27 |
1578065041 | Strategic Therapy Associates, Inc. | Transportation Broker | 1225 W Main Street, Danville, VA 24541 | 2018-03-01 |
1790291078 | Vicente T Falgui Md PC | Internal Medicine | 990 Main Street, Suite 204, Danville, VT 24541 | 2017-12-21 |
1558884270 | Focus Point Mental Health, LLC | Community/Behavioral Health | 116 Magnolia Drive, Danville, VA 24541 | 2017-07-25 |
1073045522 | Brittney Paige Throckmorton-samples | Physical Therapist | 174 Executive Drive, Danville, VA 24541 | 2017-04-03 |
1114378106 | Laurie Rich Taylor | Nurse Practitioner | 541 Bridge Street, Suite 1, Danville, VA 24541 | 2016-06-30 |
1285085779 | Larry Keller | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541 | 2016-06-25 |
1952617474 | Joshua Home Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 223 Randolph Street, Danville, VA 24541 | 2010-08-21 |
1922274661 | Blankenship & Davis Opticians Inc | Eyewear Supplier (Equipment, not the service) | 625 West Main Street, Danville, VA 24541 | 2008-05-02 |
1750588307 | Tiffany Devon Clark | Physical Therapy Assistant | 432 Hermitage Dr., Danville, VA 24541 | 2007-06-28 |
Find all providers in zip 24541 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174918098 | Samantha Rose Ellis | Dermatology | 600 San Ramon Valley Blvd Ste 102, Danville, CA 94526-4021 | 2015-03-30 |
1427488618 | Dermatology & Laser Centre, Inc | Dermatology | 770 San Ramon Valley Blvd, Danville, CA 94526-4077 | 2013-11-25 |
1689863722 | Salli Smith Slone, Md, Psc | Dermatology | 111 Daniel Drive, Danville, KY 40422-2527 | 2007-10-15 |
1184635195 | Jerome Potozkin | Dermatology | 600 San Ramon Valley Blvd, Suite 102, Danville, CA 94526-4014 | 2006-08-11 |
1457396277 | Gergana Gallacher | Dermatology | 770 San Ramon Blvd, Danville, CA 94526-4407 | 2006-06-17 |
1407894074 | Sonia Badreshia | Dermatology | 360 Rose Ave, Danville, CA 94526-3320 | 2006-06-03 |
1083618326 | Salli Smith Slone | Dermatology | 111 Daniel Dr, Danville, KY 40422-2527 | 2005-06-01 |
1417586363 | Paul Allen Leiphart | Dermatology | 100 N Academy Ave, Danville, PA 17822-0001 | 2020-04-03 |
1821521733 | Radhika Rani Trivedi | Dermatology | 16 Woodbine Lane, Danville, PA 17822 | 2017-04-07 |
1881126837 | Patrick Kupiec | Dermatology | 16 Woodbine Ln, Danville, PA 17822 | 2017-03-29 |
Find all providers in DANVILLE |
Please comment or provide details below to improve the information on NATHAN ANDREW MERL JACKSON.
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.