DR. MELINDA BROWN JACKSON (NPI# 1558332734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558332734 |
Entity Type | Individual |
Full Name | DR. MELINDA BROWN JACKSON |
Credential | M.D., PHD |
Practice Address |
4144 Wyntree Dr Newburgh IN 47630-2521 |
Practice Telephone | 8128581957 |
Practice Fax Number | 8128581917 |
Mailing Telephone | 8128581957 |
Mailing Fax Number | 8128581917 |
Enumeration Date | 2006-01-27 |
Last Update Date | 2014-01-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 01037696 | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100180410 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972750073 | Melinda W. Jackson | Occupational Therapist | 345 Shoreline Cir, Newnan, GA 30263-5940 | 2008-08-20 |
1528148483 | Melinda Mullins Jackson | Internal Medicine | 701 Northside Drive, Central Mississippi Residential Center, Newton, MS 36345-2361 | 2006-10-16 |
1629460472 | Melinda Ethel Jackson | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2015-03-02 |
1518901586 | Melinda Lea Jackson | Registered Nurse | Madigan Army Medical Ctr, 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2006-06-16 |
1558330647 | Melinda Ann Jackson | Internal Medicine | 13007 Ne Glisan St, Portland, OR 97230-2545 | 2006-03-14 |
Street Address |
4144 WYNTREE DR |
City | NEWBURGH |
State | IN |
Zip Code | 47630-2521 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740899236 | Deaconess Clinic, Inc. | Nurse Practitioner | 4144 Wyntree Dr, Newburgh, IN 47630-2521 | 2020-07-30 |
1659813160 | Rose Angela Coslett | Nurse Practitioner | 4144 Wyntree Dr, Newburgh, IN 47630-2521 | 2016-11-15 |
1700250867 | Brandi Annette Eyer | Nurse Practitioner | 4144 Wyntree Dr, Newburgh, IN 47630-2521 | 2015-11-30 |
1962827345 | Anna Kavanaugh | Nurse Practitioner | 4144 Wyntree Dr, Newburgh, IN 47630-2521 | 2014-02-21 |
1477989861 | Ashley Nicole Lampton | Nurse Practitioner | 4144 Wyntree Dr, Newburgh, IN 47630-2521 | 2013-09-18 |
1700064797 | Melinda Jackson Md Phd | Nurse Practitioner | 4144 Wyntree Dr, Newburgh, IN 47630-2521 | 2008-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
Find all providers in zip 47630 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093874620 | Annie Samina Aziz | Family Medicine | 200 Lake Street, Newburgh, NY 12550-5243 | 2006-12-08 |
1336212331 | Clovis E Manley | Family Medicine | 4943 Rosebud Ln, Newburgh, IN 47630-9226 | 2006-11-16 |
1417050089 | James Darrigo | Family Medicine | 38 North Plank Rd, Newburgh, NY 12550 | 2006-09-07 |
1831101757 | Anjali N Shah | Family Medicine | 310 Fullerton Ave, Suite 101, Newburgh, NY 12550-3724 | 2006-08-12 |
1407804602 | Deaconess Clinic, Inc | Family Medicine | 10455 Orthopaedic Dr, Newburgh, IN 47630-7955 | 2006-05-04 |
1114904380 | Carleen M Rubel | Family Medicine | 3799 Venetian Way, Newburgh, IN 47630-8278 | 2005-12-28 |
1396722757 | Harry C Harvey | Family Medicine | 8077 Rose Hill Dr, Newburgh, IN 47630-2811 | 2005-12-28 |
1073598330 | Jon Scott Uloth | Family Medicine | 3711 Casey Rd, Newburgh, IN 47630-8343 | 2005-12-09 |
1841273968 | Krishna R. Chilukuri | Family Medicine | 4166 Wyntree Dr, Suite A, Newburgh, IN 47630-2521 | 2005-11-22 |
1720079411 | Judi A Brezausek | Family Medicine | 8080 High Pointe Dr, Newburgh, IN 47630-3026 | 2005-11-02 |
Find all providers in NEWBURGH |
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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.