JOHN S JACKSON (NPI# 1689654600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689654600 |
| Entity Type | Individual |
| Full Name | JOHN S JACKSON |
| Credential | DO |
| Practice Address |
10555 Vista Del Sol Dr Ste 200 El Paso TX 79925-7943 |
| Mailing Address |
1720 Murchison El Paso TX 79902 |
| Practice Telephone | 9155945925 |
| Practice Fax Number | 9155945926 |
| Mailing Telephone | (915) 533-7465 |
| Mailing Fax Number | 9155345289 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | J7998 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1700 N Oregon St Ste 710, El Paso, TX 799023583 | 9155945925 | 9155945926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1063073310 | John Jackson | Speech-Language Pathologist | 2143 Mohawk Trl, Maitland, FL 32751-3950 | 2019-06-27 |
| 1992202832 | John Jackson | Physical Therapy Assistant | 209 Lake St, Chittenango, NY 13037-1518 | 2018-04-08 |
| 1063911105 | John Martin Jackson | Physical Therapy Assistant | 11118 Lantern Way, North Chesterfield, VA 23236-3575 | 2018-02-05 |
| 1184164493 | John Jackson | Emergency Medical Technician, Paramedic | 137 S Newport Ave, Newport, WA 99156-1942 | 2017-03-06 |
| 1508236837 | John Willard Jackson | Anesthesiology | 7857 Caruth Ct, Dallas, TX 75225-8133 | 2015-09-29 |
| 1043572035 | John Ferndale Jackson | Behavioral Analyst | 931 Azure Heights Place, Las Vegas, NV 89110 | 2012-06-14 |
| 1679830558 | John Michael Jackson | Pharmacist | 1000 Castlebay, Cincinnati, OH 45245-4910 | 2012-04-18 |
| 1013043553 | John Phillip Jackson | Occupational Therapist | 7810 Avenue U Apt B, Lubbock, TX 79423-2430 | 2007-02-26 |
| 1275673451 | John W Jackson | Pharmacist | 1667 Bellemeade Dr, Altoona, PA 16602-7402 | 2007-02-07 |
| Street Address |
10555 VISTA DEL SOL DR STE 200 |
| City | EL PASO |
| State | TX |
| Zip Code | 79925-7943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942404520 | Toribio Tomas Natividad | Orthopaedic Surgery | 10555 Vista Del Sol Dr Ste 200, El Paso, TX 79925-7943 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434820 | Francisco Andres Escobar | Dentist | 2200 N Yardbrough Dr, Suite N, El Paso, TX 79925 | 2020-07-08 |
| 1982259495 | Cruz Elvia Corral | Assisted Living Facility | 10165 Bermuda, El Paso, TX 79925 | 2019-08-02 |
| 1740846179 | Sister Sisters In Home Care Services LLC | In Home Supportive Care | 9327 Sims Drive, Suite F, El Paso, TX 79925 | 2019-05-10 |
| 1245790450 | Mario Salinas | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W, El Paso, Texas 79925, El Paso, TX 79925 | 2019-03-22 |
| 1720559289 | Sweet Care Home Care Providers LLC | PACE Provider Organization | 7917 Sunmount Dr, El Paso, TX 79925 | 2018-12-10 |
| 1083130215 | Javier Calzadilla Jr. | Behavior Technician | 9900 Montana Ave Ste C6, El Paso, TX 79925 | 2017-08-18 |
| 1942721980 | Isela Cristina Sanchez | Specialist/Technologist | 3021 Killarney St., El Paso, TX 79925 | 2017-06-29 |
| 1831629617 | Rebekah E Alvarez | Behavior Technician | 2200 North Yarabrough Suite B, Apt 103, El Paso, TX 79925 | 2017-06-14 |
| 1841646817 | Imelda Barbosa | Counselor | 9455 Viscount 170, El Paso, TX 79925 | 2016-05-10 |
| 1528426491 | Salnor, Inc. | Clinic/Center | 8517 Lockheed Dr., El Paso, TX 79925 | 2016-02-05 |
| Find all providers in zip 79925 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483767 | Eric Sides, M.d., Pa | Orthopaedic Surgery | 820 E Redd Rd Bldg B, El Paso, TX 79912-7275 | 2020-09-23 |
| 1952819641 | El Paso Specialty Physicians Group | Orthopaedic Surgery | 7420 Remcon Cir Ste A-2, El Paso, TX 79912-3529 | 2018-01-16 |
| 1043612526 | Edgar E. Fernandez Md Pa | Orthopaedic Surgery | 1512 Zaragoza Road, Building C Ste 3-4, El Paso, TX 79936-8903 | 2014-09-16 |
| 1265773345 | Everett Lee Campbell, Md, Pa | Orthopaedic Surgery | 8700 Montana Ave # C, El Paso, TX 79925-1221 | 2013-03-14 |
| 1134449960 | Octavio Licon, M.d. P.a. | Orthopaedic Surgery | 10410 Vista Del Sol Dr., El Paso, TX 79925 | 2010-06-03 |
| 1164747861 | James Helge Nelson | Orthopaedic Surgery | 2000 Trans Mountain Rd Ste B, El Paso, TX 79911 | 2010-04-06 |
| 1407084734 | Edgar E Fernandez | Orthopaedic Surgery | 1512 N Zaragoza Rd Ste C, El Paso, TX 79936 | 2009-06-25 |
| 1609028729 | Jason Duane Vourazeris | Orthopaedic Surgery | 12770 Edgemere Blvd, Building F, El Paso, TX 79938-4568 | 2008-10-21 |
| 1336305663 | Carlos Gonzalez | Orthopaedic Surgery | 1540 N Zaragoza Rd, El Paso, TX 79936-7905 | 2008-08-06 |
| 1720104276 | Jose Luis Diaz, M.d. P.a. | Orthopaedic Surgery | 10501 Vista Del Sol, Suite 220, El Paso, TX 79925-7941 | 2007-03-22 |
| Find all providers in EL PASO | ||||
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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.