DAVID W UNDERWOOD (NPI# 1760425250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760425250 |
| Entity Type | Individual |
| Full Name | DAVID W UNDERWOOD |
| Credential | M.D. |
| Practice Address |
2273 N Highland Ave Suite B Jackson TN 38305-4909 |
| Practice Telephone | 7316649977 |
| Practice Fax Number | 7316649484 |
| Mailing Telephone | 7316649977 |
| Mailing Fax Number | 7316649484 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD0000019471 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 4077483 | 01 | |
| CIGNA | 6959071 | 01 | |
| TN | 3044467 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194011551 | David Underwood | Community Health Worker | 1565 Hwy 150 S. Ste. C, Evanston, WY 82930-8752 | 2011-06-23 |
| 1356436935 | David I Underwood | Dentist | 3803 Wales Road Nw, Massillon, OH 44646 | 2006-10-03 |
| 1518284991 | David S Underwood | Counselor | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2010-04-26 |
| 1679755300 | David Chad Underwood | Chiropractor | 11631 Asheville Hwy, Suite I, Inman, SC 29349-1812 | 2007-12-05 |
| 1639380835 | David D. Underwood | Social Worker | 2121 Noblestown Rd, Suite 201, Pittsburgh, PA 15205-3956 | 2007-05-28 |
| 1215965009 | David B. Underwood | Radiology | 400 N Pepper Ave, Colton, CA 92324-1819 | 2006-06-29 |
| 1023080686 | David J Underwood | Radiology | 414 E San Bernardino Rd, Covina, CA 91723-1704 | 2006-02-07 |
| Street Address |
2273 N HIGHLAND AVE SUITE B |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-4909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639532468 | Lee Finley Jones | Ophthalmology | 1501 Lakeland Dr Ste 100, Jackson, MS 39216-4869 | 2016-03-30 |
| 1861777161 | Parkside Eye Clinic P.C. | Ophthalmology | 2108 Fourth Street, Jackson, MI 49203-4518 | 2011-10-18 |
| 1043514607 | Jeevak Lal | Ophthalmology | 5887 N Rickfield Rd, Jackson, MI 49201-8314 | 2010-12-22 |
| 1447568241 | Laura L Dipuma | Ophthalmology | 2027 Greystone Sq, Jackson, TN 38305-3576 | 2010-09-15 |
| 1477879062 | James Arnold Luebbers | Ophthalmology | 687 East Kelly Ave., Bx 3797, Jackson, WY 83001-3797 | 2010-04-08 |
| 1366624801 | Premier Eye Care, Pllc | Ophthalmology | 30 Howell Ln, Jackson, KY 41339-8657 | 2007-11-27 |
| 1932224748 | Eyecare Professionals Pa | Ophthalmology | 1501 Lakeland Drive, Suite 100, Jackson, MS 39216-4848 | 2007-03-20 |
| 1053410126 | Ophthalmic Plastic Surgery Specialists Pllc | Ophthalmology | 1421 North State St, Ste 304, Jackson, MS 39202 | 2006-09-22 |
| 1114020906 | James Alvin Bruce Jr. | Ophthalmology | 2500 Lakeland Dr, Ste A, Jackson, MS 39232 | 2006-09-06 |
| 1639272693 | Charles Gerard Sherwood | Ophthalmology | 1500 Woodrow Wilson Ave, G. V. 'sonny' Montgomery Va Medical Center, Jackson, MS 39216 | 2006-09-06 |
| Find all providers in JACKSON | ||||
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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.