MICHAEL JACKSON (NPI# 1801365382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801365382 |
| Entity Type | Individual |
| Full Name | MICHAEL JACKSON |
| Practice Address |
5537b N Glenwood St Ste B Garden City ID 83714-1336 |
| Mailing Address |
Po Box 326 Meridian ID 83680-0326 |
| Practice Telephone | 2087899075 |
| Practice Fax Number | 2089172818 |
| Mailing Telephone | 2088909750 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | NA | ID | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345346 | Michael Frederick Jackson | Massage Therapist | 12702 E 33rd Ct, Spokane Valley, WA 99206-8372 | 2020-08-04 |
| 1295372993 | Michael Jackson | Chiropractor | 5216 Cold Springs Way, Eugene, OR 97405-5213 | 2019-12-02 |
| 1114441375 | Michael Frank Jackson Jr. | Physical Therapist | 1806 Russell Pkwy Ste 1400, Warner Robins, GA 31088-5781 | 2017-07-31 |
| 1457809931 | Michael Jackson | Counselor | 10001 W. Grand Avenue, Franklin Park, IL 60131 | 2016-09-14 |
| 1639625833 | Michael Jackson | Counselor | 128 Mute Swan Place, Newark, DE 19711 | 2016-08-28 |
| 1467823104 | Michael Jackson | Occupational Therapy Assistant | 1913 N Oakes St Apt D, Tacoma, WA 98406-7527 | 2015-10-07 |
| 1831576651 | Michael Howard Jackson | Family Medicine | 4646 Nw Fielding Road, Topeka, KS 66618 | 2015-04-30 |
| 1063809846 | Michael Jackson | Social Worker | 43518 Champlain Ct, Canton, MI 48188-1711 | 2015-04-20 |
| 1780922872 | Michael A Jackson | Pharmacist | 585 Mcwilliams Rd Se Unit 2303, Atlanta, GA 30315-7571 | 2013-01-23 |
| 1790045763 | Michael A Jackson | Pharmacist | 123 East South Main St, Littleton, NC 27850 | 2012-05-23 |
| Street Address |
5537B N GLENWOOD ST STE B |
| City | GARDEN CITY |
| State | ID |
| Zip Code | 83714-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851874937 | Medtech Specialties LLC | Durable Medical Equipment & Medical Supplies | 825 E Gate Blvd Ste 100, Garden City, NY 11530-2136 | 2018-09-13 |
| 1326524737 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 506 Stewart Ave Ste E28, Garden City, NY 11530-4706 | 2018-07-18 |
| 1336644046 | Garden City Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 28545 Ford Rd, Garden City, MI 48135-2843 | 2018-03-26 |
| 1922474709 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2424 N Taylor Ave, Garden City, KS 67846-2627 | 2015-08-17 |
| 1417381013 | Phlebotomy Career Training | Durable Medical Equipment & Medical Supplies | 28050 Ford Rd Ste C, Garden City, MI 48135-2967 | 2013-08-30 |
| 1437594512 | Ajt Mobility Inc. | Durable Medical Equipment & Medical Supplies | 7 Chestnut St, Garden City, NY 11530-6205 | 2013-05-02 |
| 1174816599 | Coejac Medical Services, LLC | Durable Medical Equipment & Medical Supplies | 4309 Augusta Rd, Garden City, GA 31408-2000 | 2011-05-18 |
| 1063669877 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 3010 Larue St, Garden City, KS 67846-7072 | 2008-08-22 |
| 1346403045 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4210 Augusta Rd, Garden City, GA 31408-2106 | 2008-07-03 |
| 1982863940 | Sav On Home Healthcare Supply Inc | Durable Medical Equipment & Medical Supplies | 29436 Ford Rd, Garden City, MI 48135-2318 | 2008-06-05 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 83714 |
Please comment or provide details below to improve the information on MICHAEL JACKSON.
| 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.