JACKSON HOSPITAL AND CLINIC INC (NPI# 1679946610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679946610 |
| Entity Type | Organization |
| Organization Name | JACKSON HOSPITAL AND CLINIC INC |
| Other Organization Name | JACKSON NEUROLOGY |
| Practice Address |
1801 Pine St Suite 202 Montgomery AL 36106-0165 |
| Mailing Address |
1722 Pine St Suite 503 Montgomery AL 36106-1103 |
| Practice Telephone | 3342938082 |
| Practice Fax Number | 3342938088 |
| Mailing Telephone | 3342402337 |
| Mailing Fax Number | 3342936859 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-12-07 |
| Authorized Official Name | KELIN PENNEY (ADMINISTRATOR) |
| Authorized Official Telephone | 3342402335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Jackson Neurology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750742318 | Jackson Hospital and Clinic Inc | Internal Medicine | 707 Mcqueen Smith Rd S, Prattville, AL 36066-7503 | 2016-03-10 |
| 1407387848 | Jackson Hospital and Clinic Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1758 Park Pl, Suite 202, Montgomery, AL 36106-1127 | 2017-03-27 |
| 1407300304 | Jackson Hospital and Clinic Inc | Surgery | 1722 Pine St, Suite 904, Montgomery, AL 36106-1103 | 2016-08-09 |
| 1891156469 | Jackson Hospital and Clinic Inc | Internal Medicine | 115 Herren Hill Rd, Tallassee, AL 36078-1276 | 2016-03-10 |
| 1912362773 | Jackson Hospital and Clinic Inc | Internal Medicine | 1758 Park Pl, Suite 401, Montgomery, AL 36106-1127 | 2015-12-22 |
| 1740657683 | Jackson Hospital and Clinic Inc | Surgery | 44 Medical Arts Ct, Greenville, AL 36037-3869 | 2015-08-26 |
| 1164803367 | Jackson Hospital and Clinic Inc | Urology | 226 Mitylene Park Dr, Montgomery, AL 36117-3548 | 2015-06-12 |
| 1558764266 | Jackson Hospital and Clinic Inc | Obstetrics & Gynecology | 1758 Park Pl, Suite 301, Montgomery, AL 36106-1127 | 2014-10-08 |
| 1831513787 | Jackson Hospital and Clinic Inc | Surgery | 7201 Copperfield Dr, Montgomery, AL 36117-7101 | 2014-02-13 |
| 1154669752 | Jackson Hospital and Clinic Inc | Surgery | 1722 Pine St, Ste 503, Montgomery, AL 36106-1103 | 2013-01-17 |
| Street Address |
1801 PINE ST SUITE 202 |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-0165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063406338 | Carol L Anders | Nurse Practitioner | 1801 Pine St, Suite 204, Montgomery, AL 36106-0165 | 2005-09-01 |
| 1194178772 | Julie Jenkins | Nurse Practitioner | 1801 Pine St, Suite 203, Montgomery, AL 36106-0165 | 2016-07-19 |
| 1588011746 | Jackson Hospital and Clinic Inc. | Surgery | 1801 Pine St, Suite 101, Montgomery, AL 36106-0165 | 2016-05-18 |
| 1346619368 | Jodie Shedd | Nurse Practitioner | 1801 Pine St, Suite 302, Montgomery, AL 36106-0165 | 2015-09-21 |
| 1457634818 | Melissa Briana Myer | Physical Therapist | 1801 Pine St, Suite 102, Montgomery, AL 36106-0165 | 2011-09-22 |
| 1710265905 | Jackson Hospital and Clinic, Inc. | Internal Medicine | 1801 Pine St, Suite 203, Montgomery, AL 36106-0165 | 2011-07-22 |
| 1831486489 | Tiara Hypolite | Internal Medicine | 1801 Pine St, Suite 301, Montgomery, AL 36106-0165 | 2011-07-05 |
| 1326270406 | Phillip K Whatley | Physical Therapist | 1801 Pine St, Suite 102, Montgomery, AL 36106-0165 | 2009-08-21 |
| 1720223027 | Jackson Hospital and Clinic, Inc. | Surgery | 1801 Pine St, Suite 202, Montgomery, AL 36106-0165 | 2008-12-16 |
| 1639314230 | Jackson Hospital and Clinic, Inc | Internal Medicine | 1801 Pine St, Suite 301, Montgomery, AL 36106-0165 | 2008-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477852739 | Ninh Ba Doan | Neurological Surgery | 2065 E South Blvd Ste 204, Montgomery, AL 36116-2460 | 2011-03-24 |
| 1275736365 | Thomas Randolph Whisenhunt | Neurological Surgery | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2007-06-07 |
| 1649330747 | Dennis H Becker | Neurological Surgery | 2257 Taylor Rd, Suite 200, Montgomery, AL 36117-7790 | 2006-12-11 |
| 1649346784 | Patrick G Ryan | Neurological Surgery | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2006-11-28 |
| 1316013451 | Thomas W Rigsby | Neurological Surgery | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2006-11-28 |
| 1801998844 | Robert H. Bradley | Neurological Surgery | 2065 E South Blvd, Suite 204, Montgomery, AL 36116-2463 | 2006-09-01 |
| 1952418303 | Neurosurgery Associates of Central Alabama PC | Neurological Surgery | 2065 E South Blvd, Suite 204, Montgomery, AL 36116-2458 | 2006-08-23 |
| 1760598999 | F. Donovan Kendrick | Neurological Surgery | 2065 E South Blvd, Suite 204, Montgomery, AL 36116-2458 | 2006-08-21 |
| 1790734242 | Joshua Andrew Miller | Neurological Surgery | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720565351 | Faizal Aminmohamed Haji | Neurological Surgery | Lowder 400, 1600 7th Avenue South, Birmingham, AL 35233 | 2018-07-26 |
| 1558714121 | Neurology Center of East Alabama, LLC | Neurological Surgery | 2570 Village Professional Drive, Opelika, AL 36801-4742 | 2016-07-19 |
| 1689074825 | John Rainer | Neurological Surgery | 2415 Moores Mill Rd Unit 265, Auburn, AL 36830-8484 | 2014-08-25 |
| 1003226895 | James Davie | Neurological Surgery | 663 Idlewild Cir, Birmingham, AL 35205-5830 | 2014-05-01 |
| 1467792572 | Bluitt Lee Landers Jr. | Neurological Surgery | 5188 Crossings Pkwy, Birmingham, AL 35242-4538 | 2013-02-26 |
| 1205128790 | Richard Philip Menger | Neurological Surgery | 1604 Center Street, Ste 2s, Mobile, AL 36604-1541 | 2011-05-03 |
| 1780905380 | Joshua York Menendez | Neurological Surgery | 800 Saint Vincents Dr Ste 700, Birmingham, AL 35205-1630 | 2010-06-17 |
| 1598084394 | Jessica Nicole Bentley | Neurological Surgery | Jt727 619 19th St S, Birmingham, AL 35294 | 2010-05-19 |
| 1760717342 | Frank Phillip Haws | Neurological Surgery | 421 Mcclung Ave, Huntsville, AL 35801-3111 | 2009-10-15 |
| 1225299589 | Amber Shea Gordon | Neurological Surgery | 3 Mobile Infirmary Cir Ste 201a, Mobile, AL 36607-3514 | 2008-06-19 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
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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.