LINDA SUE JACKSON (NPI# 1407864119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407864119 |
| Entity Type | Individual |
| Full Name | LINDA SUE JACKSON |
| Credential | PA-C |
| Practice Address |
17051 Dallas Pkwy Suite 400 Addison TX 75001-7109 |
| Practice Telephone | 2143703535 |
| Practice Fax Number | 2143700004 |
| Mailing Telephone | 2143703535 |
| Mailing Fax Number | 2143700004 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2015-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
02046 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 209277701 | 05 | |
| TX | BCBSTX | 8Y9248 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558741512 | Linda Jackson | Community Health Worker | 5070 Coleridge Dr, Fairfax, VA 22032-2416 | 2015-06-04 |
| 1285944538 | Linda Jackson | Counselor | 2817 Se 47th St, Oklahoma City, OK 73129-8727 | 2010-10-19 |
| 1417282955 | Linda Carol Jackson | Physical Therapy Assistant | 9200 S County Road 300 W, Muncie, IN 47302-8833 | 2009-10-15 |
| 1992943492 | Linda Gail Jackson | Registered Nurse | 28 Violet Rd, Kings Park, NY 11754-2336 | 2009-01-22 |
| 1144305046 | Linda M Jackson | Counselor | 417 Ipock St, Vanceboro, NC 28586-7996 | 2006-10-26 |
| 1033292842 | Linda L. Jackson | Counselor | 2735 Henning Dr, Winston Salem, NC 27106-4578 | 2006-10-23 |
| 1487742102 | Linda Johnson Jackson | Psychologist | 10701 Corporate Dr Ste 220, Stafford, TX 77477-4093 | 2006-10-10 |
| 1952910812 | Linda Joyice Jackson | Home Health Aide | 1516 E Tropicana Ave Ste 199, Las Vegas, NV 89119-8323 | 2020-07-27 |
| 1932766946 | Linda Jackson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-05-24 |
| 1053816314 | Linda Natasha Rene Jackson | Case Manager/Care Coordinator | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2018-03-28 |
| Street Address |
17051 DALLAS PKWY SUITE 400 |
| City | ADDISON |
| State | TX |
| Zip Code | 75001-7109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598722654 | Andrew Eunkoo Park | Orthopaedic Surgery | 17051 Dallas Pkwy, Suite 400, Addison, TX 75001-7109 | 2006-05-01 |
| 1346774858 | Superior Anesthesia Management, LLC. | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2017-04-12 |
| 1790229581 | Gb Anesthesia Management | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-12-13 |
| 1164974424 | Cottonwood Anesthesia Management, LLC | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-11-02 |
| 1457808859 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 17051 Dallas Pkwy, Suite 440, Addison, TX 75001 | 2016-09-02 |
| 1174976377 | Highland Anesthia Management, LLC | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-07-22 |
| 1265885453 | Scarlet Anesthesia Management, LLC | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-07-22 |
| 1972951341 | Hawk Anesthesia Management, LLC | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-05-26 |
| 1073976684 | Glenwood Anesthesia Management | Clinic/Center | 17051 Dallas Pkwy, Suite 100, Addison, TX 75001-7109 | 2016-03-31 |
| 1093178816 | Somnium Dme | Durable Medical Equipment & Medical Supplies | 17051 Dallas Pkwy, Addison, TX 75001-7109 | 2016-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143772 | Naomi Grace Moats | Speech-Language Pathologist | 5820 Addison Rd, Addison, TX 75001 | 2020-01-22 |
| 1669020467 | Us Med, LLC | Durable Medical Equipment & Medical Supplies | 15455 Dallas Parkway, Suite 600; Office #6015, Addision, TX 75001 | 2019-08-27 |
| 1316592215 | Sunny Boy Pharmacy, LLC | Pharmacy | 4388 Sunbelt Dr, Addision, TX 75001 | 2019-08-07 |
| 1538714779 | Tarpon Pllc | Physical Medicine & Rehabilitation | 17051 N. Dallas Parkway, Suite 320, Addison, TX 75001 | 2019-08-05 |
| 1235782251 | Aliah T Green | Speech-Language Pathologist | 15820 Addison Road, Addison, TX 75001 | 2019-07-18 |
| 1902376254 | Kendall Leann Chambers | Counselor | 15851 Dallas Parkway, Suite 600, Addison, TX 75001 | 2018-11-29 |
| 1053800391 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 17051 Dallas Pkwy Ste 310, Addison, TX 75001 | 2018-05-02 |
| 1528561719 | Relinda Lee Longan | Licensed Vocational Nurse | 4820 Westgrove Dr, # 903, Addison, TX 75001 | 2018-03-14 |
| 1306363338 | Margaret Weiss | Social Worker | Steven A Cohen Military Family Clinic At Metrocare, 16160 Midway Rd, Suite 218, Addison, TX 75001 | 2017-08-30 |
| 1508380759 | Dallas Sci Recovery Inc | Clinic/Center | 15046 Beltway Dr, Addison, TX 75001 | 2017-07-31 |
| Find all providers in zip 75001 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902386477 | Spine Surgery Service, Pllc | Physician Assistant | 17051 Dallas Pkwy Ste 400, Addison, TX 75001-7108 | 2018-08-15 |
| 1811473044 | Midway Surgical Consultants, L.L.C. | Physician Assistant | 17051 Dallas Pkwy Ste 400, Addison, TX 75001-7108 | 2018-07-11 |
| 1104342948 | Addison Surgical Services, Pllc | Physician Assistant | 17051 Dallas Pkwy Ste 400, Addison, TX 75001-7108 | 2017-08-14 |
| 1659777142 | Mary Hooper | Physician Assistant | 17051 Dallas Pkwy Ste 400, Addison, TX 75001-7108 | 2014-11-10 |
| 1013021161 | Mark William Glass | Physician Assistant | 17051 Dallas Pkwy Ste 400, Addison, TX 75001-7108 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133340 | Mark Alan Williams | Physician Assistant | 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 | 2020-10-28 |
| 1669081238 | Manuel V Leyva | Physician Assistant | 8407 Sunset Loch Dr, Spring, TX 77379-5121 | 2020-07-29 |
| 1194342212 | Sean Robert Jamieson | Physician Assistant | 2700 E Broad St Ste 200, Mansfield, TX 76063-5899 | 2020-07-06 |
| 1588284194 | Hill Country Surgical Management, Inc | Physician Assistant | 10454 Tippecanoe, San Antonio, TX 78245-3128 | 2020-04-23 |
| 1407475585 | Serenity Surgical Services | Physician Assistant | 3260 Springbok Cir, Frisco, TX 75034-3671 | 2020-04-09 |
| 1720610470 | Surgical Assistants of South Texas | Physician Assistant | 3414 Highway 146 S, La Porte, TX 77571-7400 | 2020-02-11 |
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1912558693 | Chandrant Akshar Pa | Physician Assistant | 400 W Arbrook Blvd Ste 230, Arlington, TX 76014-3174 | 2019-09-24 |
| 1700435831 | Christina A Vogel-rosbrook | Physician Assistant | 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
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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.