DR. RICHARD ALLEN JACKSON (NPI# 1578644290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578644290 |
| Entity Type | Individual |
| Full Name | DR. RICHARD ALLEN JACKSON |
| Credential | M.D. |
| Practice Address |
304 E Leigh St Richmond VA 23219-1410 |
| Practice Telephone | 8042257148 |
| Practice Fax Number | 8042257159 |
| Mailing Telephone | 8042257148 |
| Mailing Fax Number | 8042257159 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2011-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0101030877 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | QUAL CHOICE | 041765-00000 | 01 |
| VA | ANTHEM/TRIGON/HMO/PPO/HEA | 0542922 | 01 |
| VA | SOUTHERHEALTH | 541588928 | 01 |
| VA | CIGNA/HMO/PPO | 541588928/4971410007 | 01 |
| VA | MCR GROUP# | C03251 | 01 |
| VA | 006044140 | 05 | |
| VA | VIRGINIA HEALTH NETWORK | 541588928 | 01 |
| VA | PHCS | 541588928 | 01 |
| VA | VA PREMIER | 541588928 | 01 |
| VA | AETNA/HMO/PPO | 491268 | 01 |
| VA | UNITEDHEALTHCARE | 541588928 | 01 |
| VA | MCR RAILROAD | 110054158 | 01 |
| VA | SENTAR | 44130 | 01 |
| VA | VA COORDINATED CARE | 541588928 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629520770 | Richard Allen Jackson | Social Worker | 201 W Laurel St, Brainerd, MN 56401-3902 | 2016-10-25 |
| 1386924363 | Richard Ray Jackson | Social Worker | 104 S Ridge Ave, Troy, OH 45373-2704 | 2011-08-23 |
| 1124240197 | Richard Jackson | Psychologist | 2650 West 2700 South, Syracuse, UT 84075 | 2007-05-02 |
| 1508081993 | Richard Jackson | Psychiatry & Neurology | E 4111 Andover Road Suite 220, Bloomfield Hills, MI 48302 | 2007-04-13 |
| 1851478101 | Richard Jackson | Pharmacist | 420 Delaware St Se # Mmc812, Minneapolis, MN 55455-0341 | 2006-11-01 |
| 1972616134 | Richard Pharus Jackson | Optometrist | 216 W Washington St, Anthony, TX 79821-9304 | 2006-08-15 |
| 1801810163 | Richard Edwin Jackson | Dentist | 109 Timbermill Dr, Lexington, SC 29073-7138 | 2006-07-27 |
| 1366483406 | Richard D Jackson | Family Medicine | 29 Eastbrook Rd, Ronks, PA 17572-9769 | 2006-06-09 |
| 1659328060 | Richard Jackson | Emergency Medicine | 505 Regency Xing, Southlake, TX 76092-9501 | 2006-05-30 |
| 1174587505 | Richard E Jackson | Physician Assistant | 21260 Olean Blvd Ste 200, Port Charlotte, FL 33952-6742 | 2006-04-13 |
| Street Address |
304 E LEIGH ST |
| City | RICHMOND |
| State | VA |
| Zip Code | 23219-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396826046 | Dominion Medical Associates, Inc | Family Medicine | 304 E Leigh St, Richmond, VA 23219-1410 | 2006-10-18 |
| 1548711419 | Dominion Medical Associate, Inc | Nurse Practitioner | 304 E Leigh St, Richmond, VA 23219-1410 | 2016-10-17 |
| 1962705061 | Bon Secours Memorial Regional Medical Center | Family Medicine | 304 E Leigh St, Richmond, VA 23219-1410 | 2010-12-10 |
| 1174853287 | Bon Secours - Richmond Community Hospital, Incorporated | Internal Medicine | 304 E Leigh St, Suite 300, Richmond, VA 23219 | 2010-01-12 |
| 1255412052 | Tasha Brooks Dickerson | Family Medicine | 304 E Leigh St, Richmond, VA 23219-1410 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306337910 | Patricia Young Flynn | Psychologist | Richmond Public Schools, Dept. of Exceptional Education, 301 N. Ninth Street, Richmond, VA 23219 | 2018-05-21 |
| 1558859173 | Marie Rhodes-dawson | Psychologist | 301 North Ninth Street, Richmond, VA 23219 | 2018-04-30 |
| 1639674369 | Kelly Schmid Mccrowell | Psychologist | 301 N. 9th Street, Psychological Services/exceptional Education, Richmond, VA 23219 | 2018-03-26 |
| 1104321033 | Veronica Leigh Wiles | Occupational Therapist | 301 North 9th Street, Exceptional Education, Richmond, VA 23219 | 2018-03-23 |
| 1780103234 | Brandy Lakesha Rushing | Counselor | 107 S. 5th Street, Richmond, VA 23219 | 2017-09-15 |
| 1134676679 | Richa Chibbar | Student in an Organized Health Care Education/Training Program | 230 N 6th St, Unit 204, Richmond, VA 23219 | 2016-09-01 |
| 1578974788 | Kinlee Stewart | Counselor | 409 E. Main St, #204, Richmond, VA 23219 | 2014-05-12 |
| 1760814941 | Ivey Contacting Service,inc | Day Training, Developmentally Disabled Services | 501 East Frnklin St Stu 724, Richmond, VA 23219 | 2013-07-30 |
| 1154665883 | Ashley Hoover Rhoades | Nurse Practitioner | 701 East Byrd Street, Diamond Health Group, Richmond, VA 23219 | 2012-11-19 |
| 1932461852 | New Legacy Youth Services, LLC | Community/Behavioral Health | 904 North 1st Street, Richmond, VA 23219 | 2012-06-15 |
| Find all providers in zip 23219 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421538 | Doctors Who Care Pllc | Internal Medicine | 1601 Main St Ste 309, Richmond, TX 77469-3230 | 2020-09-11 |
| 1093367245 | Maya Susan Varkey | Internal Medicine | 8119 Cheyenne Hills Trl, Richmond, TX 77406-1626 | 2019-07-09 |
| 1780164426 | Kelly Clinic | Internal Medicine | 5503 Fm 359 Rd Ste C, Richmond, TX 77406-7835 | 2018-08-21 |
| 1013411032 | Graham Philip Mcrary | Internal Medicine | Vcuhs Dept of Pm&r, 9860667, 1250 E. Marshall Street, Richmond, VA 23298-0000 | 2018-03-23 |
| 1306340153 | Eric Sheldon Jacobson | Internal Medicine | 2956 Hathaway Rd, Apt. 1101, Richmond, VA 23225 | 2018-03-19 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1801322821 | Adnan Alam Khan | Internal Medicine | 1721 Hanover Ave Unit A, Richmond, VA 23220-3505 | 2017-05-11 |
| 1568900439 | John Edward Tysell Jr. | Internal Medicine | 437 Carlston Street, Richmond, CA 94805 | 2017-02-10 |
| 1457898702 | Michael Ngo D.o. American Board of Internal Medicine Certified Pllc | Internal Medicine | 11130 Drumadoon Dr, Richmond, TX 77407-2036 | 2017-01-25 |
| 1346796091 | Thaer Saqer Mustafa Abdelfattah | Internal Medicine | Vcuhs Dept of Gastroenterology Fellowship, 980509, 1250 E. Marshall Street, Richmond, VA 23298-0509 | 2016-08-31 |
| Find all providers in RICHMOND | ||||
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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.