KEN JACKSON (NPI# 1659376341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659376341 |
| Entity Type | Individual |
| Full Name | KEN JACKSON |
| Credential | P.A. |
| Practice Address |
320 N Main Lockney TX 79241-0037 |
| Mailing Address |
Po Box 37 Lockney TX 79241-0037 |
| Practice Telephone | 8066523373 |
| Practice Fax Number | 8066522417 |
| Mailing Telephone | 8066523373 |
| Mailing Fax Number | 8066522417 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA01096 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538494810 | Ken Bernard Jackson | Behavioral Analyst | 179 E 116th St, New York, NY 10029-1459 | 2009-10-05 |
| Street Address |
320 N MAIN |
| City | LOCKNEY |
| State | TX |
| Zip Code | 79241-0037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548362 | Gary B Mangold | Family Medicine | 320 N Main, Lockney, TX 79241-0037 | 2005-06-16 |
| 1508318528 | Jenna Lane Everett | Physician Assistant | 320 N Main, Lockney, TX 79241 | 2016-10-25 |
| 1699095752 | Sharie A. Moore, M.d., P.a. | Family Medicine | 320 N Main, Lockney, TX 79241-0037 | 2010-06-10 |
| 1457374688 | Lockney General Hospital District | Medicare Defined Swing Bed Unit | 320 N Main, Lockney, TX 79241 | 2006-07-26 |
| 1437178357 | Lockney General Hospital District | Clinic/Center | 320 N Main, Lockney, TX 79241 | 2006-07-19 |
| 1104842475 | Lockney General Hospital District | General Acute Care Hospital | 320 N Main, Lockney, TX 79241 | 2006-07-13 |
| 1235161027 | Ernesto Alonzo Rodriguez | Registered Nurse | 320 N Main, Lockney, TX 79241 | 2006-07-06 |
| 1437150687 | Sharman A Moore | Family Medicine | 320 N Main, Lockney, TX 79241-0037 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407478522 | Wilson Pharmacy Group, LLC | Pharmacy | 309 N Main, Lockney, TX 79241 | 2020-05-12 |
| 1225337629 | Brance Wilson | Pharmacist | 805 West Bryant, Lockney, TX 79241 | 2011-03-24 |
| 1902031867 | City of Lockney | Ambulance | 218 E Locust, Lockney, TX 79241 | 2009-05-21 |
| 1114178290 | Rosa Gonzales | Massage Therapist | 203 E. College, Lockney, TX 79241 | 2008-10-07 |
| 1437263985 | Danny Lynn Clark | Pharmacist | 309 North Main, Lockney, TX 79241 | 2006-08-19 |
| 1447232442 | Mangold Memorial Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 214 N Main, Lockney, TX 79241 | 2005-11-16 |
| 1154930071 | Lockney General Hospital District | Emergency Medicine | 320 N. Main St., Lockney, TX 79241 | 2020-07-27 |
| 1174957732 | Childress County Hospital District | Skilled Nursing Facility | 401 North Main Street, Lockney, TX 79241 | 2013-08-30 |
| 1376787689 | Lockney Health Care LLC | Skilled Nursing Facility | 401 North Main Street, Lockney, TX 79241 | 2009-04-30 |
| 1457558629 | Lockney Health Care LLC | Skilled Nursing Facility | 401 North Main Street, Lockney, TX 79241 | 2007-06-29 |
| Find all providers in zip 79241 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1366042335 | Mary Elizabeth Arnold | Physician Assistant | 12455 Longmire Lakeview, Conroe, TX 77304-1087 | 2020-10-29 |
| 1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
| 1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
| 1811596927 | Emily Lau | Physician Assistant | 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 | 2020-10-20 |
| 1720686116 | Richard Magana | Physician Assistant | 1651 Ridgemar Dr, Grand Prairie, TX 75051-3340 | 2020-10-16 |
| 1295333532 | Victoria Jane Campbell | Physician Assistant | 4412 Young Dr, Carrollton, TX 75010-1144 | 2020-10-09 |
| 1134726763 | Barbara Elizabeth Montoya | Physician Assistant | 3309 Nottingham Dr, Laredo, TX 78043-1202 | 2020-10-06 |
| 1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
| 1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.