JACKSON HOSPITAL AND CLINIC INC (NPI# 1740657683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740657683 |
Entity Type | Organization |
Organization Name | JACKSON HOSPITAL AND CLINIC INC |
Other Organization Name | JACKSON VASCULAR SURGERY GREENVILLE |
Practice Address |
44 Medical Arts Ct Greenville AL 36037-3869 |
Mailing Address |
1722 Pine St Suite 503 Montgomery AL 36106-1103 |
Practice Telephone | 3342938922 |
Practice Fax Number | 3342936820 |
Mailing Telephone | 3342402337 |
Mailing Fax Number | 3342936859 |
Enumeration Date | 2015-08-26 |
Last Update Date | 2015-08-26 |
Authorized Official Name | MS. KELIN PENNEY (ADMINISTRATOR JACKSON CLINIC) |
Authorized Official Telephone | 3342402335 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Jackson Vascular Surgery Greenville | 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 |
1679946610 | Jackson Hospital and Clinic Inc | Neurological Surgery | 1801 Pine St, Suite 202, Montgomery, AL 36106-0165 | 2015-11-12 |
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 |
44 MEDICAL ARTS CT |
City | GREENVILLE |
State | AL |
Zip Code | 36037-3869 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770577371 | Catherine A Schmid | Specialist | 44 Medical Arts Ct, Suite #1, Greenville, AL 36037-3869 | 2005-09-09 |
1801074125 | Greenville Clinic Corp | Family Medicine | 44 Medical Arts Ct, Ste. 3, Greenville, AL 36037-3869 | 2008-02-08 |
1043392442 | Florencia Sellers | Family Medicine | 44 Medical Arts Ct, Suite 3, Greenville, AL 36037-3869 | 2006-10-19 |
1689623332 | Greenville Clinic Corp | Pediatrics | 44 Medical Arts Ct, Ste. 1, Greenville, AL 36037-3869 | 2006-05-09 |
1891794335 | Greenville Clinic Corp | Family Medicine | 44 Medical Arts Ct, Suite 3, Greenville, AL 36037-3869 | 2005-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457963092 | Aericka Oneal | Pharmacist | 101 Greenville Bypass, Greenville, AL 36037 | 2020-08-17 |
1235530338 | Homestead Hospice of Southern Alabama, LLC | Hospice Care, Community Based | 104 Carmellia Ave, Suite A, Greenville, AL 36037 | 2014-09-08 |
1477979672 | Rmcca Clinic A, LLC | Clinic/Center | 300 N College Street, Greenville, AL 36037 | 2014-03-12 |
1659502623 | William Hamilton, Jr, Dmd, LLC | Dentist | 106 Fort Dale, Greenville, AL 36037 | 2009-08-07 |
1184742512 | James Robert Powell | Counselor | 185 Industrial Parkway, Greenville, AL 36037 | 2007-03-26 |
1679649172 | Brenda Burke Bowen | Physical Therapist | 801 Wood Valley Rd, Greenville, AL 36037 | 2006-11-27 |
1194812032 | William Hamilton Jr. | Dentist | 106 Cedar St., Greenville, AL 36037 | 2006-10-10 |
1578671459 | Marvin Mccoy Hewlett Jr. | Dentist | 402 E Commerce Street, Greenville, AL 36037 | 2006-08-29 |
1194258319 | Kristen Beverly | Nurse Practitioner | 300 N College St, Greenville, AL 36037 | 2017-04-05 |
1427400035 | Richard Giovane | Family Medicine | 300 N College St, Greenville, AL 36037 | 2016-07-07 |
Find all providers in zip 36037 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316944705 | William M Bogey Jr. | Surgery | 115 Heart Dr, East Carolina Heart Institute @ Ecu Dept. of Cvs, Greenville, NC 27834-8944 | 2005-06-30 |
1336636786 | Vein Center At Allure Medical Spa, Pllc | Surgery | 540 Old Howell Rd, Greenville, SC 29615-1969 | 2018-04-20 |
1184945842 | St Francis Physician Services Inc | Surgery | 317 Saint Francis Dr Ste 340, Greenville, SC 29601 | 2010-06-17 |
1952531386 | Emilia Maria Krol | Surgery | 200 Patewood Dr Ste C300, Greenville, SC 29615-6324 | 2009-07-20 |
1730313313 | Joseph Vincent Valentino Blas | Surgery | 200 Patewood Dr, Suite C300, Greenville, SC 29615-3593 | 2009-05-11 |
1154587012 | Sagar S Gandhi | Surgery | 200 Patewood Dr, Suite C300, Greenville, SC 29615-3593 | 2008-07-31 |
1548440407 | Greenville Surgical, Pllc | Surgery | 1011 W H Smith Blvd, Suite 100, Greenville, NC 27834-3787 | 2007-11-08 |
1962609347 | David Terrell Williams | Surgery | 3 Saint Francis Dr, Ste 330, Greenville, SC 29601-3971 | 2007-06-29 |
1386757128 | Tod Martin Hanover | Surgery | 200 Patewood Dr, Suite C300, Greenville, SC 29615-3593 | 2006-08-16 |
1932115987 | John Francis Eidt | Surgery | 200 Patewood Dr, Suite C300, Greenville, SC 29615-3593 | 2006-07-31 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 36037 |
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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.