DR. JOHN OWENS JACKSON JR. (NPI# 1386676534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386676534 |
| Entity Type | Individual |
| Full Name | DR. JOHN OWENS JACKSON JR. |
| Credential | MD |
| Practice Address |
1323 East Wood Street East Wood Clinic Paris TN 38242 |
| Practice Telephone | 7316422011 |
| Practice Fax Number | 7316442758 |
| Mailing Telephone | 7316422011 |
| Mailing Fax Number | 7316442758 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD14033 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3000296 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1063073310 | John Jackson | Speech-Language Pathologist | 2143 Mohawk Trl, Maitland, FL 32751-3950 | 2019-06-27 |
| 1992202832 | John Jackson | Physical Therapy Assistant | 209 Lake St, Chittenango, NY 13037-1518 | 2018-04-08 |
| 1063911105 | John Martin Jackson | Physical Therapy Assistant | 11118 Lantern Way, North Chesterfield, VA 23236-3575 | 2018-02-05 |
| 1184164493 | John Jackson | Emergency Medical Technician, Paramedic | 137 S Newport Ave, Newport, WA 99156-1942 | 2017-03-06 |
| 1508236837 | John Willard Jackson | Anesthesiology | 7857 Caruth Ct, Dallas, TX 75225-8133 | 2015-09-29 |
| 1043572035 | John Ferndale Jackson | Behavioral Analyst | 931 Azure Heights Place, Las Vegas, NV 89110 | 2012-06-14 |
| 1679830558 | John Michael Jackson | Pharmacist | 1000 Castlebay, Cincinnati, OH 45245-4910 | 2012-04-18 |
| 1013043553 | John Phillip Jackson | Occupational Therapist | 7810 Avenue U Apt B, Lubbock, TX 79423-2430 | 2007-02-26 |
| 1275673451 | John W Jackson | Pharmacist | 1667 Bellemeade Dr, Altoona, PA 16602-7402 | 2007-02-07 |
| Street Address |
1323 EAST WOOD STREET EAST WOOD CLINIC |
| City | PARIS |
| State | TN |
| Zip Code | 38242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053407890 | James W Mcgee | Internal Medicine | 1323 East Wood Street, Paris, TN 38242-4421 | 2006-10-05 |
| 1710072392 | Douglas S Summers | Family Medicine | 1323 East Wood Street, Paris, TN 38242-4421 | 2006-10-03 |
| 1134213713 | James B Robertson | Internal Medicine | 1323 East Wood Street, Paris, TN 38242-4421 | 2006-10-03 |
| 1124112727 | Michael W Nelson | Emergency Medicine | 1323 East Wood Street, Paris, TN 38242-4421 | 2006-10-03 |
| 1780778373 | Christy F Minor | Pediatrics | 1323 East Wood Street, Paris, TN 38242-4421 | 2006-10-03 |
| 1124112602 | Philip W Nanney | Family Medicine | 1323 East Wood Street, Paris, TN 38242-4421 | 2006-10-02 |
| 1073606778 | East Wood Clinic Pllc | Family Medicine | 1323 East Wood Street, Paris, TN 38242-4421 | 2006-10-02 |
| 1982797536 | Rodney Scott Whitby | Internal Medicine | 1323 East Wood Street, Paris, TN 38242-4421 | 2006-10-02 |
| 1437242955 | Virginia Go | Internal Medicine | 1323 East Wood Street, Paris, TN 38242-4421 | 2006-10-02 |
| 1558455014 | David H Long | Podiatrist | 1323 East Wood Street, Paris, TN 38242-4421 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396374732 | Renee Michelle Girouard | Physician Assistant | 209 B Tyson Ave, Paris, TN 38242 | 2020-04-07 |
| 1255960134 | Alexander P Patrone | Student in an Organized Health Care Education/Training Program | 302b Tyson Ave, Paris, TN 38242 | 2020-04-03 |
| 1457980302 | Aswathy Krishnakumar | Student in an Organized Health Care Education/Training Program | 302b Tyson Avenue, Paris, TN 38242 | 2020-04-03 |
| 1053824052 | Rocky Mountain Holdings, LLC | Ambulance | 1949 Driggs Road, Paris, TN 38242 | 2017-11-13 |
| 1588199152 | Taylor Wilson | Dentist | 3485 Highway 79 N, Paris, TN 38242 | 2017-04-20 |
| 1215472592 | Elizabeth Lane Mcintosh | Behavioral Analyst | 28 Fieldstone Dr, Paris, TN 38242 | 2016-12-22 |
| 1124574959 | Patty Wilson | Counselor | 2555 E. Wood Street, Paris, TN 38242 | 2016-08-31 |
| 1942601539 | Trustworthy Anesthesia Care | Nurse Anesthetist, Certified Registered | 1010 Green Hill Dr, Paris, TN 38242 | 2014-09-15 |
| 1083963946 | West Tennessee Physical Medicine, Pllc | General Practice | 1024 Mineral Wells Avenue, Paris, TN 38242 | 2012-09-06 |
| 1316242514 | Henry Co. Health Dept. | Skilled Nursing Facility | 803 Joy St., Paris, TN 38242 | 2011-01-19 |
| Find all providers in zip 38242 | ||||
| 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 |
|---|---|---|---|---|
| 1689630378 | Lindsay Andre Worrell | Pediatrics | 243 Jim Adams Dr, Paris, TN 38242-4967 | 2006-04-22 |
| 1619940368 | Paris Pediatrics PC | Pediatrics | 243 Jim Adams Drive, Paris, TN 38242 | 2006-02-10 |
| 1710449566 | Kids Clinic of Paris, LLC | Pediatrics | 345 Stone Ave, Paris, TX 75460 | 2019-04-02 |
| 1518197425 | Sherry Larraine Scott | Pediatrics | 740 6th St Sw, Paris, TX 75460-8530 | 2009-07-27 |
| 1760625818 | Ryan B. West, Md | Pediatrics | 6 Linville Dr, Paris, KY 40361-2128 | 2009-04-18 |
| 1447455613 | Megan Janette Higgins | Pediatrics | 243 Jim Adams Dr, Paris, TN 38242-4967 | 2007-06-18 |
| 1235355488 | Aubrey Clark Gibbs | Pediatrics | 3150 Clarksville St, Suite 100, Paris, TX 75460-8076 | 2007-04-17 |
| 1003997099 | Janice Lynn Gibbons | Pediatrics | 3150 Clarksville St, Suite 100, Paris, TX 75460-8076 | 2006-10-18 |
| 1780778373 | Christy F Minor | Pediatrics | 1323 East Wood Street, Paris, TN 38242-4421 | 2006-10-03 |
| 1801809926 | Eric Eugene Salzman | Pediatrics | 3150 Clarksville St, Suite 100, Paris, TX 75460-8076 | 2006-08-14 |
| Find all providers in PARIS | ||||
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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.