ANDREW JACKSON


Address: 550 W Chalmers Ave, Youngstown, OH 44511-1576
Phone: 3307467829

ANDREW JACKSON (NPI# 1528559358) 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) 1528559358
Entity Type Individual
Full Name ANDREW JACKSON
Practice Address 550 W Chalmers Ave
Youngstown
OH 44511-1576
Mailing Address 527 N Meridian Rd
Youngstown
OH 44509-1227
Practice Telephone 3307467829
Enumeration Date 2018-05-29
Last Update Date 2018-05-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers ANDREW JACKSON

NPI Name Taxonomy Address Enumeration
1093279572 Andrew Jay Jackson Technician 125 County Road 4209, Jacksonville, TX 75766-5574 2019-01-29
1568591287 Andrew Lee Jackson Dentist 600 Mccranie Avenue, Willacoochie, GA 31650 2007-03-06
1194811240 Andrew Spencer Jackson Dentist 1832 Capitol St, Vallejo, CA 94590 2006-10-05
1245291954 Andrew Dan Jackson Chiropractor 1025 W Carolina Ave, Hartsville, SC 29550-4427 2006-03-31
1447850227 Andrew Jackson Pharmacist 3520 Hudson Dr, Stow, OH 44224-2907 2020-10-29
1134618820 Andrew Jackson IIi Chiropractor 460 S 14th St, Midlothian, TX 76065-3514 2018-05-08
1497253835 Andrew Boyd Jackson Emergency Medicine 1459 Laney Walker Blvd, Augusta, GA 30912 2018-01-31
1285172841 Andrew Jackson General Acute Care Hospital 284 N Hospital Dr, Price, UT 84501-4233 2017-02-03
1508309055 Andrew Jackson IIi Case Manager/Care Coordinator 1401 Hudson Ln, Suite 202, Monroe, LA 71201-6068 2016-11-30
1285177253 Andrew Jackson Naturopath 12025 Lake City Way Ne Ste B, Seattle, WA 98125-5331 2016-11-23

Office Location

Street Address 550 W CHALMERS AVE
City YOUNGSTOWN
State OH
Zip Code 44511-1576

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558598391 Gloria J. Griffin Counselor 550 W Chalmers Ave, Youngstown, OH 44511-1576 2009-06-19
1497354443 Dylan D Wilkerson Community/Behavioral Health 550 W Chalmers Ave, Youngstown, OH 44511-1576 2020-10-21
1528678034 Ashley M Nagle Counselor 550 W Chalmers Ave, Youngstown, OH 44511-1576 2020-08-10
1730790262 Lachean D Oliver-mcrae Licensed Practical Nurse 550 W Chalmers Ave, Youngstown, OH 44511-1576 2020-08-10
1962012757 Brandy Lewis Counselor 550 W Chalmers Ave, Youngstown, OH 44511-1576 2020-08-06
1285243261 Corrie L Darocha Counselor 550 W Chalmers Ave, Youngstown, OH 44511-1576 2020-07-27
1528694692 Danielle K Coontz Counselor 550 W Chalmers Ave, Youngstown, OH 44511-1576 2020-03-20
1255966123 Jessica A Ebelender Community/Behavioral Health 550 W Chalmers Ave, Youngstown, OH 44511-1576 2020-03-11
1285269423 Kyle Puz Community/Behavioral Health 550 W Chalmers Ave, Youngstown, OH 44511-1576 2020-03-09
1023653524 Lauren G Holt Counselor 550 W Chalmers Ave, Youngstown, OH 44511-1576 2019-11-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396365755 Khaled Omar Student in an Organized Health Care Education/Training Program Shaheed Tayar St, Zagazig, AL SHARKEYA 44511 2020-04-25
1720587785 Canfield Leasing Co., LLC Skilled Nursing Facility 2958 Canfield Road, Youngstown, OH 44511 2018-02-06
1437671856 Tyisha J Williams Home Health 2704 Volney Rd, Youngstown, OH 44511 2017-07-07
1831584234 Tamara Ann Ramsey Home Health Aide 3634 Cascade Dr., Youngstown, OH 44511 2015-04-02
1679919153 Amy Sue Lutz Licensed Practical Nurse 3970 Chaucer Ln, Youngstown, OH 44511 2013-05-10
1366622342 Professional Rehab Services Inc Physical Therapist 4199 Kirk Rd, Youngstown, OH 44511 2007-11-07
1407077357 Tamy D Mcbride Home Health Aide 3631 Dover Rd, Youngstown, OH 44511 2007-05-01
1619058229 Joseph Michael Malys Dentist 3415 Canfield Rd, Youngstown, OH 44511 2006-10-18
1689695306 Jennifer Lynn Flo Podiatrist 3507 Canfield Rd Ste 7, Youngstown, OH 44511 2006-07-21
1255396040 James R Hovell Dentist 361 W Indianola, Youngstown, OH 44511 2006-04-18
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134770688 Kimberly Thomas Case Manager/Care Coordinator 13 E Lucius Ave, Youngstown, OH 44507-1804 2019-09-26
1043866825 Christina Diehl Case Manager/Care Coordinator 3530 Belmont Ave Ste 2, Youngstown, OH 44505-1400 2019-08-16
1659925162 Chasity Chamberlin Case Manager/Care Coordinator 3530 Belmont Ave Ste 200, Youngstown, OH 44505-1400 2019-08-01
1104479062 Lance S Thomas Case Manager/Care Coordinator 831 E Philadelphia Ave, Youngstown, OH 44502-2455 2019-07-19
1104333798 Sherrell Lynn Moorer Case Manager/Care Coordinator 3164 Eastview Drive, Youngstown, OH 44505 2018-01-04
1508396888 Roni Renee Robinson Case Manager/Care Coordinator 25 W Rayen Ave, Youngstown, OH 44503-1000 2017-06-19
1548706914 Laura Howard Case Manager/Care Coordinator 4621 Rhode Island Dr, Youngstown, OH 44515-4417 2017-01-10
1518351220 Carlos Roberto Montalvo Case Manager/Care Coordinator 53 E Glenaven Ave, Youngstown, OH 44507-1304 2015-03-20
1104189703 Leigh Ann-elizabeth Colangelo Case Manager/Care Coordinator 419 Lynnbrook Dr, Youngstown, NY 14174-1407 2012-06-19
1497356349 Monica Bartley Case Manager/Care Coordinator 535 Marmion Ave, Youngstown, OH 44502-2323 2020-11-06
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Competitor

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City YOUNGSTOWN
Zip Code 44511

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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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