DR. ELIZABETH MICHELE JACKSON (NPI# 1386870285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386870285 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH MICHELE JACKSON |
| Credential | M.D. |
| Practice Address |
444 Clinchfield St Suite 2900 Kingsport TN 37660-3606 |
| Mailing Address |
3044 Highland Grove Dr Johnson City TN 37615-4596 |
| Practice Telephone | 4232456101 |
| Practice Fax Number | 4232452396 |
| Mailing Telephone | 4234830700 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2014-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 51246 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743287 | Elizabeth Jane Jackson | Physical Therapist | 2241 Great Rock Rd, Vestavia Hills, AL 35216-2121 | 2020-09-06 |
| 1477018588 | Elizabeth C Jackson | Counselor | 13300 W 6th Ave # 22a, Lakewood, CO 80228-1255 | 2019-02-02 |
| 1619413861 | Elizabeth Marie Jackson | Nurse Practitioner | 123 Brooke Ln Ne, Cleveland, TN 37312-7416 | 2017-01-12 |
| 1699130245 | Elizabeth Grace Jackson | Counselor | Philhaven 283 Butler Road, Mt Gretna, PA 17064 | 2015-12-28 |
| 1649694233 | Elizabeth Arlene Jackson | Counselor | 922 12th St, Rawlins, WY 82301-6517 | 2014-02-18 |
| 1477882272 | Elizabeth Wood Jackson | Psychologist | 122 Saint Marys St, Raleigh, NC 27605-1809 | 2009-12-08 |
| 1104091784 | Elizabeth A Jackson | Specialist | 94 Auburn St Ste 106, Portland, ME 04103-2141 | 2008-04-24 |
| 1801095898 | Elizabeth Osborne Jackson | Dentist | 317 Rosewood St, Irondale, AL 35210-3116 | 2007-07-11 |
| 1295834893 | Elizabeth Marie Jackson | Physician Assistant | 515 Wekiva Commons Circle, Apopka, FL 32712 | 2006-09-21 |
| 1902420466 | Elizabeth Detweiler Jackson | Registered Nurse | 42 Town St Ste 300, Norwich, CT 06360-2339 | 2020-06-01 |
| Street Address |
444 CLINCHFIELD ST SUITE 2900 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174509533 | Joann W. D'aprile-lubrano | Family Medicine | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3606 | 2005-12-19 |
| 1366981805 | Appalachian Orthopaedic Associates PC | Orthopaedic Surgery | 444 Clinchfield St, Suite 303, Kingsport, TN 37660-3858 | 2017-02-16 |
| 1881069946 | Patricia Erwin | Nurse Practitioner | 444 Clinchfield St, Suite 103, Kingsport, TN 37660-3858 | 2015-12-01 |
| 1316328024 | Blue Ridge Medical Management Corporation | Internal Medicine | 444 Clinchfield St, Suite 201b, Kingsport, TN 37660-3858 | 2015-06-18 |
| 1295143378 | Blue Ridge Medical Management | Internal Medicine | 444 Clinchfield St, Unit 201b, Kingsport, TN 37660-3606 | 2014-08-01 |
| 1205249885 | Blue Ridge Medical Management Corporation | Internal Medicine | 444 Clinchfield St, Unit 201, Kingsport, TN 37660-3858 | 2014-06-11 |
| 1699188276 | Blue Ridge Medical Management Corporation | Internal Medicine | 444 Clinchfield St, Unit 201a, Kingsport, TN 37660-3858 | 2014-06-11 |
| 1952728289 | Optimum Primary Care PC | Family Medicine | 444 Clinchfield St, Suite 303, Kingsport, TN 37660-3606 | 2014-03-25 |
| 1134543085 | Michael Shouse | Physical Therapist | 444 Clinchfield St, Suite 102, Kingsport, TN 37660-3606 | 2014-02-13 |
| 1861732968 | Carli Cooper | Family Medicine | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3858 | 2013-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982635553 | Howard Thomas Brock | Surgery | 914 Broad St, Ste 2a, Kingsport, TN 37660-3817 | 2006-07-05 |
| 1417990730 | Kelly S Oggero | Surgery | 444 Clinchfield St Ste 2900, Kingsport, TN 37660-3858 | 2006-06-14 |
| 1659364602 | John R Hall | Surgery | 1833 Buckingham Ct, Kingsport, TN 37660-5871 | 2005-08-25 |
| 1477972933 | Legacy Vein Center Pllc | Surgery | 109 Jack White Dr, Kingsport, TN 37664-2364 | 2014-04-14 |
| 1407299324 | Grace Lucta Ward | Surgery | 105 W Stone Dr, Kingsport, TN 37660 | 2013-04-10 |
| 1417215195 | Stephanie Anne Hart | Surgery | 444 Clinchfield St Ste 2900, Kingsport, TN 37660-3858 | 2012-05-01 |
| 1578791307 | Robert Charles Allen | Surgery | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2009-07-01 |
| 1316164288 | John Stewart Keeley Jr. | Surgery | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2007-04-20 |
| 1841369402 | John Albert Ehrenfried | Surgery | 444 Clinchfield Street, Suite 2900, Kingsport, TN 37660 | 2006-11-07 |
| 1205844024 | Andrew Phillip Kramer | Surgery | 444 Clinchfield Street, Suite 2900, Kingsport, TN 37660 | 2006-08-04 |
| Find all providers in KINGSPORT | ||||
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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.