STEPHEN DANIEL JACKSON


Address: 1091 Kirkpatrick Road, Burlington, NC 27215-9714
Phone: 3364942073

STEPHEN DANIEL JACKSON (NPI# 1548428964) 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) 1548428964
Entity Type Individual
Full Name STEPHEN DANIEL JACKSON
Credential MD
Practice Address 1091 Kirkpatrick Road
Burlington
NC 27215-9714
Mailing Address 1091 Kirkpatrick Rd
Burlington
NC 27215-9714
Practice Telephone 3364942073
Practice Fax Number 3365381895
Mailing Telephone 3364942073
Mailing Fax Number 3365381895
Enumeration Date 2008-06-02
Last Update Date 2012-07-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 2012-00952 NC Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program VA Student, Health Care

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1659733491 Stephen Jackson Emergency Medicine 1170 Cleveland Ave, East Point, GA 30344-3615 2016-03-22
1275918401 Stephen Jackson Physical Therapist 36501 Mission St, Suite A, Prairieville, LA 70769-3289 2015-07-29
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1417087107 Stephen Charles Jackson Chiropractor 122 N 2nd St, Millville, NJ 08332-6512 2007-03-06
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Office Location

Street Address 1091 KIRKPATRICK ROAD
City BURLINGTON
State NC
Zip Code 27215-9714

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235748708 Svetlana Nepocatych Dietitian, Registered 542 Spaulding St, Burlington, NC 27215 2020-07-30
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1336797331 Kelly Elizabeth Fleming Preventive Medicine Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 2019-09-03
1861911968 Michael Frey Pharmacist 2344 South Church St, Burlington, NC 27215 2017-09-11
1174043822 Comfort Medical Supply LLC Durable Medical Equipment & Medical Supplies 1244 Plaza Dr, Burlington, NC 27215 2017-06-23
1811417561 Burlington Medical Supply LLC Durable Medical Equipment & Medical Supplies 1244 Plaza Drive, Burlington, NC 27215 2017-06-23
1912459132 Herb Mccandless Jr. Non-emergency Medical Transport (VAN) 4412 Dogwood Rd, Burlington, NC 27215 2016-11-04
1023479623 Alpha Diagnostics, LLC Clinical Medical Laboratory 3015 South Church St, Burlington, NC 27215 2016-03-10
1669720819 Lucy Wessinger Menefee Registered Nurse Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 2012-08-20
1154685402 Sheryl Harper Social Worker 2815 North Church Street, Burlington, NC 27215 2012-07-02
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821382482 Jacqueline Marie Carpenter Obstetrics & Gynecology 6105 1st Financial Dr, Burlington, KY 41005-7892 2011-06-01
1871786673 Grace Womens Clinic Pa Obstetrics & Gynecology 2280 S Church St Ste 201, Suite 201, Burlington, NC 27215-5397 2007-08-24
1871672923 Susan M Hagnell Obstetrics & Gynecology 248 Mchenry Street, Burlington, WI 53105 2006-11-02
1598861791 Robert Siefring Obstetrics & Gynecology 1900 Burlington Mount Holly Rd Ste D, Burlington Professional Campus (rte 541), Burlington, NJ 08016-4722 2006-09-15
1518926245 Peter J Rotolo Obstetrics & Gynecology 101 Cambridge Street, Burlington, MA 01803 2006-03-21
1073510665 Philip John Rosenow Obstetrics & Gynecology 1091 Kirkpatrick Rd, Burlington, NC 27215-9714 2005-06-28
1942826995 Healthone Clinic Services - Obstetrics and Gynecology LLC Obstetrics & Gynecology 286 16th St, Burlington, CO 80807-1651 2020-06-24
1013450840 Jessica Ryniec Obstetrics & Gynecology 111 Colchester Ave, Uvm Medical Center- Obstetrics and Gynecology, Burlington, VT 05401 2016-11-28
1033666441 Ankita Kulkarni Obstetrics & Gynecology 111 Colchester Ave, Burlington, VT 05401-1473 2016-09-01
1942753033 David John Coggin-carr Obstetrics & Gynecology 111 Colchester Ave, Burlington, VT 05401-1473 2016-07-26
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City BURLINGTON
Zip Code 27215

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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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