MARK JACKSON (NPI# 1811409535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811409535 |
| Entity Type | Individual |
| Full Name | MARK JACKSON |
| Practice Address |
26048 Pine Tree Rd Rhoadesville VA 22542-8549 |
| Practice Telephone | 5402196889 |
| Mailing Telephone | 5402196889 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134755721 | Mark Wayne Jackson | Occupational Therapist | 8608 Marys Creek Dr, Benbrook, TX 76116-7624 | 2020-03-16 |
| 1932488194 | Mark Monroe Jackson | Social Worker | 119 Kona Dr, Galveston, TX 77554-8623 | 2011-08-05 |
| 1477860757 | Mark Allan Jackson | Technician, Other | 322 S Jefferson St, Louisa, KY 41230-1316 | 2010-09-08 |
| 1063620516 | Mark Kent Jackson | Pharmacist | 605 Hwy 31 South, Suite D, Athens, AL 35611 | 2007-05-18 |
| 1528289881 | Mark Jackson | Preventive Medicine | 10 Standing Rock Agency Avenue, Fort Yates, ND 58538 | 2007-05-02 |
| 1255470209 | Mark F Jackson | Anesthesiology | 3930 Us 1 S, Saint Augustine, FL 32086-7089 | 2007-02-06 |
| 1598788796 | Mark K Jackson | Dentist | 7007 Old Sauk Road, Madison, WI 53717 | 2006-07-26 |
| 1003877077 | Mark R. Jackson | Emergency Medicine | 1474 E Erda Way, Tooele, UT 84074-9737 | 2006-03-30 |
| 1073585238 | Mark A Jackson | Family Medicine | 1000 Pavilions Circle, Mark A Jackson Md Plc, Traverse City, MI 49684 | 2006-02-02 |
| 1023015005 | Mark D Jackson | Optometrist | 1250 E Magnolia St, Fort Collins, CO 80524-2702 | 2005-07-05 |
| Street Address |
26048 PINE TREE RD |
| City | RHOADESVILLE |
| State | VA |
| Zip Code | 22542-8549 |
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385375 | David Lee Rosenbaum | Driver | 127 Hemlock St, Marion, VA 24354-4403 | 2020-10-31 |
| 1902404627 | Kevin Mercer | Driver | 703 W 14th St, Front Royal, VA 22630-2915 | 2020-10-14 |
| 1417554288 | Kenneth Donnell Coles | Driver | 44 W Sherwood Ave, Hampton, VA 23663-1403 | 2020-10-05 |
| 1992302673 | Rodney Larmont Carter Sr. | Driver | 205 Maple Springs Dr, Axton, VA 24054-2303 | 2020-10-05 |
| 1487261921 | Chantrise N Ratliff | Driver | 553 Jessica Cir, Newport News, VA 23606-3761 | 2020-09-29 |
| 1285240523 | Burley Walter Ball Jr. | Driver | 4313 Buckingham Rd, Coeburn, VA 24230 | 2020-09-22 |
| 1639785918 | Randy Bell | Driver | 6113 W Stonepath Garden Dr, Chester, VA 23831-3730 | 2020-09-22 |
| 1700498300 | Lisa Foster | Driver | 9562 19th Bay St Apt A, Norfolk, VA 23518-6211 | 2020-08-17 |
| 1437769213 | Marvin L Harris | Driver | 29 Ridgewood Pkwy, Newport News, VA 23608-1918 | 2020-08-05 |
| 1003425422 | T'onna Logan Clary | Driver | 18029 Highway Fifty Eight, Boydton, VA 23917-2820 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
| City | RHOADESVILLE |
| Zip Code | 22542 |
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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.