ANDREW JACKSON (NPI# 1760738355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760738355 |
| Entity Type | Individual |
| Full Name | ANDREW JACKSON |
| Credential | MD |
| Practice Address |
9180 Pinecroft Dr Ste 600 Shenandoah TX 77380 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 2812960365 |
| Practice Fax Number | 2812988907 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9722340813 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2019-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Q0464 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | BP1-0040195 | TX | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 335913503 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6431 Fannin St, Msb 1.134, Houston, TX 77030 | 7135006526 | 7135006530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093279572 | Andrew Jay Jackson | Technician | 125 County Road 4209, Jacksonville, TX 75766-5574 | 2019-01-29 |
| 1568591287 | Andrew Lee Jackson | Dentist | 600 Mccranie Avenue, Willacoochie, GA 31650 | 2007-03-06 |
| 1194811240 | Andrew Spencer Jackson | Dentist | 1832 Capitol St, Vallejo, CA 94590 | 2006-10-05 |
| 1245291954 | Andrew Dan Jackson | Chiropractor | 1025 W Carolina Ave, Hartsville, SC 29550-4427 | 2006-03-31 |
| 1447850227 | Andrew Jackson | Pharmacist | 3520 Hudson Dr, Stow, OH 44224-2907 | 2020-10-29 |
| 1528559358 | Andrew Jackson | Case Manager/Care Coordinator | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2018-05-29 |
| 1134618820 | Andrew Jackson IIi | Chiropractor | 460 S 14th St, Midlothian, TX 76065-3514 | 2018-05-08 |
| 1497253835 | Andrew Boyd Jackson | Emergency Medicine | 1459 Laney Walker Blvd, Augusta, GA 30912 | 2018-01-31 |
| 1285172841 | Andrew Jackson | General Acute Care Hospital | 284 N Hospital Dr, Price, UT 84501-4233 | 2017-02-03 |
| 1508309055 | Andrew Jackson IIi | Case Manager/Care Coordinator | 1401 Hudson Ln, Suite 202, Monroe, LA 71201-6068 | 2016-11-30 |
| Street Address |
9180 PINECROFT DR STE 600 |
| City | SHENANDOAH |
| State | TX |
| Zip Code | 77380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336343235 | Loren L Rourke | Surgery | 9180 Pinecroft Dr Ste 600, Shenandoah, TX 77380 | 2007-06-13 |
| 1891252060 | Christie Eddins | Nurse Practitioner | 9180 Pinecroft Dr Ste 600, Shenandoah, TX 77380 | 2019-02-25 |
| 1306194402 | Diana Margaret Hook | Surgery | 9180 Pinecroft Dr Ste 600, Shenandoah, TX 77380 | 2012-08-21 |
| 1871848796 | Theresa Marie Thompson | Nurse Practitioner | 9180 Pinecroft Dr Ste 600, Shenandoah, TX 77380 | 2012-07-17 |
| 1598991077 | Arthy Yoga | Surgery | 9180 Pinecroft Dr Ste 600, Shenandoah, TX 77380 | 2009-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952874034 | Elevated Neuro LLC | Specialist/Technologist, Other | 719 Sawdust Rd Ste 213, The Woodlands, TX 77380 | 2019-01-10 |
| 1588139851 | Sara Barchie | Dietitian, Registered | 26113 Oak Ridge Drive, Suite A, The Woodlands, TX 77380 | 2018-10-12 |
| 1730664988 | Global Bionics, LLC | Durable Medical Equipment & Medical Supplies | 1001 Medical Loop, Ste 220, Spring, TX 77380 | 2018-10-03 |
| 1104309350 | Kristina Nicole Zills | Psychologist | 26205 Oak Ridge Dr. Suite 103, The Woodlands, TX 77380 | 2018-09-13 |
| 1972094365 | Southern Texas Allergy The Woodlands | Allergy & Immunology | 9191 Pinecroft Dr Ste 290, Shenandoah, TX 77380 | 2018-05-22 |
| 1609373992 | Joy Adaku Ekwueme | Nurse Practitioner | Main Street Medical Clinic, 1120 Medical Plaza Dr, Suite 335, Shenandoah, TX 77380 | 2018-04-12 |
| 1821517103 | Catalyst Medical Suites, LLC | Clinic/Center | 1544 Sawdust Rd Ste 280, Spring, TX 77380 | 2017-09-18 |
| 1114440898 | Elanor Sung | Massage Therapist | 26103 I 45, Ste 102, The Woodlands, TX 77380 | 2017-07-25 |
| 1043732555 | Chinyere Obiakwata | Nurse Practitioner | 201 Pruitt Rd Apt 430, Spring, TX 77380 | 2017-07-17 |
| 1295261055 | Nafeiza Persaud | Counselor | 25301 Borough Park Dr Ste 125, Spring, TX 77380 | 2017-05-11 |
| Find all providers in zip 77380 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1639527732 | Sehar Khateeb | Internal Medicine | 9250 Pinecroft Dr Ste N2.101, Shenandoah, TX 77380-3218 | 2016-05-31 |
| 1053687970 | Holly Bentz Smith | Internal Medicine | 17183 I H 45 S Ste 530, Shenandoah, TX 77385 | 2012-03-25 |
| 1629367602 | Patrick Toluwatele Ogidan | Internal Medicine | 9201 Pinecroft Dr Fl 2, Shenandoah, TX 77380-3889 | 2011-03-30 |
| 1992930929 | Madhavi Machineni | Internal Medicine | 150 Pine Forest Dr Ste 602, Shenandoah, TX 77384 | 2009-05-20 |
| 1518135821 | Rajesh Venkataraman | Internal Medicine | 17183 I H 45 S Ste 650, Shenandoah, TX 77385-3316 | 2008-02-20 |
| 1063621175 | Shivani M Toma | Internal Medicine | 17183 I 45 S Ste 570, Shenandoah, TX 77385-3312 | 2007-05-22 |
| 1063561041 | Main Street Medical Center Inc | Internal Medicine | 24 South Main Street, Shenandoah, PA 17976 | 2007-01-09 |
| 1245269547 | Eric Evan Petterson | Internal Medicine | 4 W Washington St, Shenandoah, PA 17976-1707 | 2006-07-01 |
| 1528043676 | Frederick I Njuki | Internal Medicine | 286 Ed English Dr Ste B, Shenandoah, TX 77385-8034 | 2005-12-13 |
| 1043201015 | Paula D. Ryan | Internal Medicine | 9200 Pinecroft Dr Ste 450, Shenandoah, TX 77380-3280 | 2005-10-31 |
| Find all providers in SHENANDOAH | ||||
| City | SHENANDOAH |
| Zip Code | 77380 |
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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.