JACKSON ONCOLOGY ASSOCIATES, PLLC


Address: 1860 Chadwick Dr Ste 301, Jackson, MS 39204-3467
Phone: 6013734421

JACKSON ONCOLOGY ASSOCIATES, PLLC (NPI# 1780713966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780713966
Entity Type Organization
Organization Name JACKSON ONCOLOGY ASSOCIATES, PLLC
Practice Address 1860 Chadwick Dr Ste 301
Jackson
MS 39204-3467
Mailing Address 1227 N State St Ste 101
Jackson
MS 39202-2002
Practice Telephone 6013734421
Practice Fax Number 6013729227
Mailing Telephone 6013552485
Mailing Fax Number 6013531463
Enumeration Date 2007-03-05
Last Update Date 2017-11-15
Authorized Official Name RICHARD W GRIFFITH (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6019745578
Is Organization Subpart Y
Parent Organization Name JACKSON ONCOLOGY ASSOCIATES, PLLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 03330910 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023147204 Jackson Oncology Associates, Pllc Internal Medicine 2200 Highway 61 N Ste 3300, Vicksburg, MS 39183-8246 2007-03-05

Office Location

Street Address 1860 CHADWICK DR STE 301
City JACKSON
State MS
Zip Code 39204-3467

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639797442 Walk By Faith Not By Sight Homecare Student in an Organized Health Care Education/Training Program 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 2020-07-08
1427593888 Care First Home Care Agency, Inc In Home Supportive Care 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 2016-12-21
1134678808 Yolonda Kinzie Registered Nurse 1134 Winter St., Jackson, MS 39204 2016-09-23
1578983938 Seaneather Arline Mcgill Nurse's Aide 2024 Shady Lane Dr, Jackson, MS 39204 2014-04-23
1942591128 Real Solutilons, LLC Exclusive Provider Organization 831 Hwy 80 W., Jackson, MS 39204 2011-04-22
1548405236 Visions Physical Therapy Specialist/Technologist 4700 Robinson Rd, Jackson, MS 39204 2008-12-09
1588759393 Donald H Butts Specialist 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 2006-10-04
1003907460 Patrick E Weldon Psychiatry & Neurology 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 2006-09-28
1922117662 Elgin Kenneth Walley Dentist 2174 Henry Hill Drive, Jackson, MS 39204 2006-08-29
1376555045 Linda Nell Hunter Nurse Practitioner 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 2006-08-12
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649469743 Central Clinic, PC Internal Medicine 603 Lansing Ave, Jackson, MI 49202-3209 2007-10-15
1346379500 Jackson Oncology Associates,pllc Internal Medicine 2969 Curran Dr N Ste 200, Jackson, MS 39216-4121 2007-03-05
1639119589 Justin T Baker Internal Medicine 1227 N State St Ste 101, Jackson, MS 39202-2002 2006-06-08
1093779456 Omar Ahmad Internal Medicine 36 Sandstone Cir, Suite A & B, Jackson, TN 38305-2098 2006-04-13
1235101437 Gary G Shi Internal Medicine 617 New York Ranch Rd, Jackson, CA 95642-9328 2006-02-02
1144290032 Brian N Walker Internal Medicine 322 Hospital Blvd, Jackson, TN 38305 2006-01-24
1740284389 Van L Lackey Internal Medicine 1227 N State St, Ste 101, Jackson, MS 39202-2002 2005-06-10
1407393374 W.a. Foote Memorial Hospital, Inc Internal Medicine 205 N. East Ave, Jackson, MI 49201 2017-01-30
1740607225 West Clinic, P.C. Internal Medicine 322 Hospital Blvd, Jackson, TN 38305-2079 2014-03-24
1205193570 Eiran Avraham Warner Internal Medicine 205 N East Ave, Jackson, MI 49201-1753 2012-04-11
Find all providers in JACKSON

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City JACKSON
Zip Code 39204

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Dataset Information

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.

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