DR. ROBERT WAYNE JACKSON (NPI# 1689630196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689630196 |
| Entity Type | Individual |
| Full Name | DR. ROBERT WAYNE JACKSON |
| Credential | M.D. |
| Practice Address |
17070 Red Oak Dr. Suite 409 Houston TX 77090-2617 |
| Practice Telephone | 2814408090 |
| Practice Fax Number | 2814409959 |
| Mailing Telephone | 2814408090 |
| Mailing Fax Number | 2814409959 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2012-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | E4426 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0352122-01 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701487 | Robert Jackson | Physical Therapist | 3056 Healthy Way Ste 116, Birmingham, AL 35243-2435 | 2019-10-11 |
| 1881003655 | Robert Donald Jackson | Social Worker | 151 Knollcroft Rd # 116d, Lyons, NJ 07939-5001 | 2014-08-06 |
| 1780005496 | Robert Earl Jackson Jr. | Community Health Worker | 17 Wickham Dr, Columbus, GA 31907-6328 | 2013-12-23 |
| 1073942371 | Robert Jackson | Massage Therapist | 502 11th St Se, Decatur, AL 35601-4908 | 2013-11-06 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1457515330 | Robert Anthony Jackson | Dentist | 2816 Veach Rd., Unit 305, Owensboro, KY 42303 | 2008-07-10 |
| 1437357399 | Robert D Jackson | Counselor | 5525 Erindale Dr Ste 112, Colorado Springs, CO 80918-6960 | 2007-07-03 |
| 1174736029 | Robert Allan Jackson | Physician Assistant | 2109 Brookview Ter Apt B, Pekin, IL 61554-7320 | 2007-05-08 |
| 1144389347 | Robert W Jackson | Dentist | 209 Mimosa Dr, Thomasville, GA 31792-6633 | 2006-12-06 |
| 1144305152 | Robert Eric Jackson | Internal Medicine | 291 Indian Lake Blvd, Hendersonville, TN 37075-3653 | 2006-10-26 |
| Street Address |
17070 RED OAK DR. SUITE 409 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77090-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104826452 | Sardar Daud Khan | Specialist | 17070 Red Oak Dr., Suite 503, Houston, TX 77090-2617 | 2005-07-28 |
| 1255606885 | S D Khan Md Pa | Specialist | 17070 Red Oak Dr., Suite 503, Houston, TX 77090-2715 | 2012-03-15 |
| 1578797023 | Edward E. Shubert M.d., P.a. | Ophthalmology | 17070 Red Oak Dr., #405, Houston, TX 77090-2616 | 2009-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327579 | Chau Nguyen | Pharmacist | 1403 Cypress Creek Pkwy, Houston, TX 77090 | 2020-08-17 |
| 1609435502 | Cordelia Ogechi Egwim | Nurse Practitioner | 110 Cypress Station Drive #270, Houston, TX 77090 | 2019-06-13 |
| 1710496229 | Shamekkia Lashawn Basey | Nurse Practitioner | 1125 Cypress Station Dr Ste B-4, Houston, TX 77090 | 2017-09-27 |
| 1861914780 | Troya Vaniver Rodgers | Clinic/Center | 200 Dominion Park Drive, 1127, Houston, TX 77090 | 2017-07-12 |
| 1760911333 | Diabetes Relief Houston The Woodlands LLC | Clinic/Center | 17434 Red Oak, Suite D, Houston, TX 77090 | 2017-06-07 |
| 1043744790 | Kenneth Willie Dickerson Sr. | Driver | 15530 Ella Blvd Apt 719, Houston, TX 77090 | 2017-04-19 |
| 1740728005 | Meisha Lorraine Smith | Nurse Practitioner | 920 Medical Plaza Blvd, 450, Houston, TX 77090 | 2017-02-07 |
| 1336503648 | Guided Insight Behavioral Health Pllc | Case Management | 11757 Katy Freeway, Suite 1300, Katy, TX 77090 | 2016-04-12 |
| 1134508302 | Compassionate Health Care | Home Health | 601 Cypress Station #408, Houston, TX 77090 | 2015-05-21 |
| 1811386360 | Minal Akshay Patel | Chiropractor | 14755 N. Freeway, Suite 400, Houston, TX 77090 | 2015-01-21 |
| Find all providers in zip 77090 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1962052605 | Sharee Anne Valencia | Obstetrics & Gynecology | 11947 North Fwy, Houston, TX 77060-1700 | 2019-09-15 |
| 1881251239 | Andrea Marie Costello | Obstetrics & Gynecology | Gme, Attn: Dottie Mersinger, 6670 Bertner Ave., R2-216, Houston, TX 77030 | 2019-05-21 |
| 1144784406 | Martha Laird | Obstetrics & Gynecology | 5618 Bankside Dr, Houston, TX 77096-6119 | 2019-01-30 |
| 1588134407 | The Women's Health Solution | Obstetrics & Gynecology | 5751 Blythewood St Ste 200, Houston, TX 77021-5404 | 2018-12-04 |
| 1720569411 | Champions Women's Center, P.a. | Obstetrics & Gynecology | 17070 Red Oak Dr Ste 400, Houston, TX 77090-2616 | 2018-08-22 |
| 1942711668 | Total Women's Care Pllc | Obstetrics & Gynecology | 2050 North Loop W Ste 130, Houston, TX 77018-8111 | 2017-10-20 |
| 1821451667 | L. Natalie Carroll, M.d. P A | Obstetrics & Gynecology | 2656 S Loop W Ste 575, Houston, TX 77054-5622 | 2016-03-30 |
| 1841652120 | Iris Alejandra Trochez Valladares | Obstetrics & Gynecology | 13215 Dotson Rd Ste 200, Houston, TX 77070-4535 | 2016-03-24 |
| 1255702544 | Leen Al-hafez | Obstetrics & Gynecology | 3105 Norfolk St, Apartment 18305, Houston, TX 77098-2916 | 2015-10-12 |
| Find all providers in HOUSTON | ||||
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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.