GEORGE WOODY JACKSON


Address: 1440 Highway 62 412, Highland, AR 72542-9497
Phone: 8708566000

GEORGE WOODY JACKSON (NPI# 1497824304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497824304
Entity Type Individual
Full Name GEORGE WOODY JACKSON
Credential M.D.
Practice Address 1440 Highway 62 412
Highland
AR 72542-9497
Practice Telephone 8708566000
Practice Fax Number 8708566001
Mailing Telephone 8708566000
Mailing Fax Number 8708566001
Enumeration Date 2006-11-06
Last Update Date 2009-04-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine N7190 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR 112923001 05

Other Providers GEORGE JACKSON

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1578777876 George Darryl Jackson Counselor 175 Gwinnett Dr, Lawrenceville, GA 30045-8444 2007-05-09
1932320124 George Jackson Spec/Tech, Pathology 130 West Kingsbridge Road, Bronx V.a. Medical Center, Bronx, NY 10468-3904 2007-05-02
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1932245032 George F. Jackson IIi Psychiatry & Neurology 5909 Orchard St W, Tacoma, WA 98467-3824 2007-01-29
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Office Location

Street Address 1440 HIGHWAY 62 412
City HIGHLAND
State AR
Zip Code 72542-9497

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598980229 Dr. George W. Jackson Pa Internal Medicine 1440 Highway 62 412, Highland, AR 72542-9497 2007-04-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154978351 Together: Individual and Family Focused Counseling, Pllc Counselor 3342 Highway 42 412, Hardy, AR 72542 2019-08-22
1952797979 April Stacey Day Training/Habilitation Specialist 2012 Highway 62/412, Highland, AR 72542 2015-04-07
1760891519 Chasity Johnson Specialist/Technologist 300 Boothe Rd, Hardy, AR 72542 2014-08-06
1346427093 Benjamin Lee Cravens Counselor 2423 W Hwy 62/412, Hardy, AR 72542 2008-01-24
1689853665 Glden Care Adult Day Health Care Inc. Respite Care 1508 B Hwy 62/412, Hardy, AR 72542 2007-10-26
1942404975 Goldencare Adhc, Inc Clinic/Center 1508 B Hwy 62 412, Highland, AR 72542 2007-06-13
1710003769 Karen Ann Schadler Durable Medical Equipment & Medical Supplies 3115 Hwy 62-412, Hardy, AR 72542 2007-03-21
1902956246 Andrea Davis Pharmacist Hwy 62 412, Midway Plaza, Hardy, AR 72542 2007-01-11
1720138068 Clifford Marsh Davis Pharmacist Hwy 62-412, Midway Plaza, Hardy, AR 72542 2007-01-11
1316026891 Dan T Speir Od Pa Optometrist 1238 Hwy 62 412, Ste B, Hardy, AR 72542 2006-11-03
Find all providers in zip 72542

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275032799 Marianne Mann Internal Medicine 7105 Biter Lane, Highland, MD 20777 2018-02-10
1154702769 Castlebridge Medical Associates, LLC Internal Medicine 12975 Highland Rd, #407, Highland, MD 20777-7500 2015-06-10
1437481082 Catherine C Ciantar Internal Medicine 2330 S Milford Rd, Highland, MI 48357-4982 2010-02-08
1891926531 Saket B Sinha Internal Medicine 9030 Cline Ave, Highland, IN 46322 2009-07-29
1861621575 Agusti Medical Corporation Internal Medicine 9803 Prairie Ave, Highland, IN 46322-3633 2009-07-02
1457542292 American Association of Visiting Physicians Internal Medicine 2834 Highway Ave, Highland, IN 46322-1629 2007-08-07
1649490723 Barber Co Internal Medicine 210 West Highland, Suite 102, Highland, MI 48357-4573 2007-04-30
1528147444 Loren Jay Chassels Internal Medicine 801 Main St 442, Highland, IL 62249 2006-11-02
1518054352 Mary Tilak Internal Medicine 2241 45th St, Highland, IN 46322-2601 2006-10-05
1538263868 Ras Sheth Internal Medicine 158 Vineyard Ave, Highland, NY 12528 2006-09-08
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Competitor

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City HIGHLAND
Zip Code 72542

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Dataset Information

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.

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