JESSICA S JACKSON DPM PLLC


Address: 15014 Bircham Rd, Louisville, KY 40245-4104
Phone: 5025580194

JESSICA S JACKSON DPM PLLC (NPI# 1558516054) 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) 1558516054
Entity Type Organization
Organization Name JESSICA S JACKSON DPM PLLC
Practice Address 15014 Bircham Rd
Louisville
KY 40245-4104
Mailing Address 6200 Pleasant Ave
Suite 3
Fairfield
OH 45014-4670
Practice Telephone 5025580194
Mailing Telephone 5138299333
Mailing Fax Number 5138587827
Enumeration Date 2008-11-25
Last Update Date 2016-03-22
Authorized Official Name JESSICA JACKSON (DPM)
Authorized Official Telephone 5025580194
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 00242 KY Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100071060 05
KY RAILROAD MEDICARE DO6474 01
IN 201083640A 05

Office Location

Street Address 15014 BIRCHAM RD
City LOUISVILLE
State KY
Zip Code 40245-4104

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083247753 Stepping Stones Pediatric Therapy, LLC Early Intervention Provider Agency 330 Cranbury Way, Louisville, KY 40245 2020-02-20
1790324333 Joseph Strano Pharmacist 12450 Lagrange Road, Louisville, KY 40245 2019-12-30
1174160725 Anne S Hill Technician 16621 Taunton Vale Rd, Louisville, KY 40245 2019-12-03
1750808937 Amy Judy Assistant Behavior Analyst 4512 Meadowlark Manor Dr, Louisville, KY 40245 2017-08-28
1104356567 Mmr Cardiovascular Consulting LLC Internal Medicine 1101 Glenlake Way, Louisville, KY 40245 2017-06-18
1952830135 Staci Marie Trofimov Dietitian, Registered 13008 Willow Forest Drive, Louisville, KY 40245 2017-06-09
1629524913 Forefront Dermatology, S.c. Dermatology 159 S. English Station Road, Louisville, KY 40245 2016-08-28
1861867830 Jamila Hadden Counselor 111 Parkview Dr., Louisville, KY 40245 2015-12-02
1538570312 Brian Johnson Case Manager/Care Coordinator 4717 Middlesex Drive, 4717 Middlesex Drive, Louisville, KY 40245 2014-05-14
1033535828 Genesis Eldercare Physician Services LLC Nurse Practitioner 16605 Chestnut Glen Pl, Louisville, KY 40245 2014-03-17
Find all providers in zip 40245

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578112983 Peter Cunningham Podiatrist 1 Audubon Plaza Dr Ofc L2, Louisville, KY 40217-1318 2019-09-09
1447787676 Jenna Vaught LLC Podiatrist 3407 Kerry Dr, Louisville, KY 40218-2131 2017-05-18
1083907471 Larry K Ketcherside Podiatrist 9110 Leesgate Rd, Louisville, KY 40222-5053 2011-05-18
1568625903 Janine A. Valentino Podiatrist 9880 Angies Way Suite 110, Louisville, KY 40241-2943 2008-07-07
1205055332 Achillies Foot and Ankle Center Inc Podiatrist 317 B Gutherie Green, Louisville, KY 40202 2007-04-25
1932277274 John M Miller Podiatrist 335 W South Boulder Road, Suite 5, Louisville, CO 80027-1192 2006-12-04
1366542748 Steven Richard Shlonsky Podiatrist 149 Thierman Lane, Louisville, KY 40207 2006-09-25
1841397320 Family Foot and Ankle Care Pllc Podiatrist 130 N Evergreen Rd, Suite 102, Louisville, KY 40243-1489 2006-09-19
1497772255 Jeffrey Kenneth Marzian Podiatrist 3403 Gatecreek Rd, Louisville, KY 40272-2687 2006-07-17
1912947631 Jessica Jackson Podiatrist 178 N Ewing Ave, Louisville, KY 40206-2459 2006-06-08
Find all providers in LOUISVILLE

Competitor

Search similar providers

City LOUISVILLE
Zip Code 40245

Improve Information

Please comment or provide details below to improve the information on JESSICA S JACKSON DPM PLLC.

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.

Trending Searches