MARK W JACKSON (NPI# 1699745273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699745273 |
| Entity Type | Individual |
| Full Name | MARK W JACKSON |
| Credential | MD |
| Practice Address |
1819 W Clinch Ave Suite 212 Knoxville TN 37916-2434 |
| Practice Telephone | 8655236418 |
| Practice Fax Number | 8655236587 |
| Mailing Telephone | 8655236418 |
| Mailing Fax Number | 8655236587 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2012-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD28432 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134755721 | Mark Wayne Jackson | Occupational Therapist | 8608 Marys Creek Dr, Benbrook, TX 76116-7624 | 2020-03-16 |
| 1811409535 | Mark Jackson | Driver | 26048 Pine Tree Rd, Rhoadesville, VA 22542-8549 | 2017-11-03 |
| 1932488194 | Mark Monroe Jackson | Social Worker | 119 Kona Dr, Galveston, TX 77554-8623 | 2011-08-05 |
| 1477860757 | Mark Allan Jackson | Technician, Other | 322 S Jefferson St, Louisa, KY 41230-1316 | 2010-09-08 |
| 1063620516 | Mark Kent Jackson | Pharmacist | 605 Hwy 31 South, Suite D, Athens, AL 35611 | 2007-05-18 |
| 1528289881 | Mark Jackson | Preventive Medicine | 10 Standing Rock Agency Avenue, Fort Yates, ND 58538 | 2007-05-02 |
| 1255470209 | Mark F Jackson | Anesthesiology | 3930 Us 1 S, Saint Augustine, FL 32086-7089 | 2007-02-06 |
| 1598788796 | Mark K Jackson | Dentist | 7007 Old Sauk Road, Madison, WI 53717 | 2006-07-26 |
| 1003877077 | Mark R. Jackson | Emergency Medicine | 1474 E Erda Way, Tooele, UT 84074-9737 | 2006-03-30 |
| 1073585238 | Mark A Jackson | Family Medicine | 1000 Pavilions Circle, Mark A Jackson Md Plc, Traverse City, MI 49684 | 2006-02-02 |
| Street Address |
1819 W CLINCH AVE SUITE 212 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811986623 | George Menees Krisle IIi | Internal Medicine | 1819 W Clinch Ave, Suite 108, Knoxville, TN 37916-2435 | 2005-10-14 |
| 1922551035 | Brittany Ellis | Dietitian, Registered | 1819 W Clinch Ave, Suite 200, Knoxville, TN 37916-2434 | 2016-07-26 |
| 1275907685 | Erik Taylor | Nurse Practitioner | 1819 W Clinch Ave, Suite 200, Knoxville, TN 37916-2434 | 2015-11-23 |
| 1447624457 | Julia Wegryn | Physician Assistant | 1819 W Clinch Ave, Suite 108, Knoxville, TN 37916-2434 | 2015-11-15 |
| 1194121723 | Lori A. Wilkerson | Nurse Practitioner | 1819 W Clinch Ave, Suite 114, Knoxville, TN 37916-2434 | 2014-11-10 |
| 1194124388 | Amanda Dawn Barnes | Nurse Practitioner | 1819 W Clinch Ave, Ste 108, Knoxville, TN 37916-2435 | 2014-08-14 |
| 1588088629 | Charles Peters | Physical Therapist | 1819 W Clinch Ave, Suite 106, Knoxville, TN 37916-2434 | 2014-02-10 |
| 1518202795 | Jennifer Jarrett Clark | Dietitian, Registered | 1819 W Clinch Ave, Suite 200, Knoxville, TN 37916-2434 | 2012-11-29 |
| 1720332232 | Caroline Bond Swann | Physician Assistant | 1819 W Clinch Ave, Suite 108, Knoxville, TN 37916-2434 | 2012-11-06 |
| 1669734323 | Joseph B Thurman | Surgery | 1819 W Clinch Ave, Suite 200, Knoxville, TN 37916-2434 | 2012-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
| 1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
| 1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
| 1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
| 1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
| 1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
| 1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
| Find all providers in zip 37916 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1407933658 | Carlos A Rollhauser | Internal Medicine | 1928 Alcoa Highway, B100, Knoxville, TN 37920 | 2006-11-01 |
| 1780695999 | Gastrointestinal Associates, PC | Internal Medicine | 1311 Dowell Springs Boulevard, Suite 300, Knoxville, TN 37909 | 2006-08-11 |
| 1861461899 | Harold Steven Silver | Internal Medicine | 10800 Parkside Dr Ste 201, Knoxville, TN 37934-1922 | 2006-03-14 |
| 1376519074 | Meade Castleton Edmunds IIi | Internal Medicine | 4713 Papermill Dr, Knoxville, TN 37909-1908 | 2006-02-23 |
| 1194790915 | Stanley Lee Miller | Internal Medicine | 801 Weisgarber Rd, Ste 100, Knoxville, TN 37909 | 2006-02-23 |
| 1154396950 | Richard Kent Farris | Internal Medicine | 801 Weisgarber Road, Suite 100, Knoxville, TN 37909 | 2006-02-23 |
| 1972084069 | Edmunds Gastroenterology, Pllc | Internal Medicine | 4713 Papermill Dr, Knoxville, TN 37909-1908 | 2018-08-27 |
| 1831598689 | Knoxville Gastroenterology Consultants Pllc | Internal Medicine | 10800 Parkside Dr Ste 201, Knoxville, TN 37934-1922 | 2014-08-18 |
| 1841502622 | Gastrointestinal Associates North | Internal Medicine | 801 N Weisgarber Rd, Suite 100, Knoxville, TN 37909-2706 | 2010-07-08 |
| 1750693537 | Gastrointestinal Associates West | Internal Medicine | 801 N Weisgarber Rd, Suite 100, Knoxville, TN 37909-2706 | 2010-07-08 |
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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.