DR. DAVID WAYNE JACKSON (NPI# 1831103027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831103027 |
| Entity Type | Individual |
| Full Name | DR. DAVID WAYNE JACKSON |
| Credential | D.O. |
| Practice Address |
5300 Harroun Rd Suite 201 Sylvania OH 43560-2182 |
| Practice Telephone | 4198434836 |
| Practice Fax Number | 4198418458 |
| Mailing Telephone | 4198434836 |
| Mailing Fax Number | 4198418458 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 34-005219 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0837063 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003456708 | David Jackson | Clinical Neuropsychologist | 6 Parkway North Blvd, Deerfield, IL 60015-2522 | 2020-01-10 |
| 1194160580 | David Huntsman Jackson | Internal Medicine | 3647 Dunbarton Dr, Mountain Brk, AL 35223-2891 | 2013-04-30 |
| 1790089860 | David Creston Jackson | Dentist | 900 Se Ocean Blvd Ste 110b, Stuart, FL 34994-3503 | 2011-01-05 |
| 1851566467 | David Kenneth Jackson | Technician/Technologist | 4200 Elderon Ave, Baltimore, MD 21215-4802 | 2008-04-24 |
| 1275711350 | David Edward Jackson IIi | Massage Therapist | 3321 E 35th Ave, Lake Station, IN 46405-3016 | 2008-01-31 |
| 1548456502 | David Nathan Jackson | Physical Therapist | 7922 S Broadway Ave, Tyler, TX 75703-5242 | 2007-09-23 |
| 1063564748 | David Bruce Jackson | Radiology | 3233 Grand Ave # N415, Chino Hills, CA 91709-1489 | 2007-01-16 |
| 1912079641 | David Christopher Jackson | Chiropractor | 484 Turner Dr, Building E, Suite 103, Durango, CO 81303-7992 | 2006-11-15 |
| 1316017940 | David Isaac Jackson | Counselor | 946 Edgewood Ave, Trenton, NJ 08618-5304 | 2006-11-09 |
| 1629165170 | David Michael Jackson | Dentist | 3550 S 5600 W, Suite 3, West Valley City, UT 84120-2776 | 2006-10-06 |
| Street Address |
5300 HARROUN RD SUITE 201 |
| City | SYLVANIA |
| State | OH |
| Zip Code | 43560-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620015 | Jeanine S Huttner | Family Medicine | 5300 Harroun Rd, 304, Sylvania, OH 43560-2182 | 2005-06-24 |
| 1255715231 | Jennifer Haselman | Nurse Practitioner | 5300 Harroun Rd, Suite 304, Sylvania, OH 43560-2182 | 2015-07-20 |
| 1215291083 | Michael Kennis | Student in an Organized Health Care Education/Training Program | 5300 Harroun Rd, Suite 304, Sylvania, OH 43560-2182 | 2012-06-27 |
| 1851655625 | Jonathan Rosenfield | Family Medicine | 5300 Harroun Rd, Suite 304, Sylvania, OH 43560-2182 | 2012-06-27 |
| 1699056549 | Promedica Central Physicians, LLC | Psychiatry & Neurology | 5300 Harroun Rd, Suite 202, Sylvania, OH 43560-2182 | 2011-09-06 |
| 1912162728 | Ahmed J Janjua | Psychiatry & Neurology | 5300 Harroun Rd, Suite 202, Sylvania, OH 43560-2182 | 2008-07-21 |
| 1376705822 | Arun Deepak Mathur | Family Medicine | 5300 Harroun Rd, Suite 170, Sylvania, OH 43560-2182 | 2008-06-26 |
| 1336309517 | Vibhuti Uppal | Family Medicine | 5300 Harroun Rd, Suite 304, Sylvania, OH 43560-2182 | 2008-06-11 |
| 1699933903 | William A Johnson Iv | Otolaryngology | 5300 Harroun Rd, Suite 118, Sylvania, OH 43560-2182 | 2008-05-23 |
| 1245417617 | Rama Sood | Pediatrics | 5300 Harroun Rd, Suite 208, Sylvania, OH 43560-2182 | 2008-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332732 | Jonelyn Hutchinson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5628 Fox Hollow Ct, Sylvania, OH 43560 | 2020-10-07 |
| 1285190611 | Karen Marie Mccartney | Occupational Therapy Assistant | Charter of Oak, 6805 Sylvania, Sylvainia, OH 43560 | 2019-02-11 |
| 1063936136 | Christina Cousino | Family Medicine | 7228 Ridgeland Rd, Sylvania, OH 43560 | 2017-08-01 |
| 1053858159 | Scott Campbell | Counselor | 5808 Monroe St Suite A2, Sylvania, OH 43560 | 2017-01-26 |
| 1932658549 | Trilogy Healthcare of Sylvania LLC | Skilled Nursing Facility | 5351 Mitchaw Road, Sylvania, OH 43560 | 2016-09-23 |
| 1730546300 | Ashley Lynn Sendelbach | Speech-Language Pathologist | 4747 N. Holland Sylvania Rd., Sylvania, OH 43560 | 2016-01-27 |
| 1881078533 | Khader Mustafa | Internal Medicine | 5700 Monroe St Unit 202, Sylvania, OH 43560 | 2015-07-13 |
| 1013391903 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2631 Davidson Drive, Toledo, OH 43560 | 2015-07-10 |
| 1104212596 | Emily Elyse Miller | Speech-Language Pathologist | 4121 King Road, Maumee, OH 43560 | 2015-04-13 |
| 1750706404 | Victoria Davis | Speech-Language Pathologist | 7962 Millford, Sylvania, OH 43560 | 2014-03-04 |
| Find all providers in zip 43560 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235574401 | Molly Greenwade | Obstetrics & Gynecology | 5308 Harroun Rd # 285, Sylvania, OH 43560-2193 | 2013-05-01 |
| 1053666198 | Jessica Abbate Burns | Obstetrics & Gynecology | 5308 Harroun Rd Ste 160, Sylvania, OH 43560-2174 | 2012-07-16 |
| 1164412078 | Burton S Brodsky | Obstetrics & Gynecology | 5308 Harroun Rd Ste 175, Sylvania, OH 43560-2190 | 2005-10-24 |
| 1881692465 | Kent E Bishop | Obstetrics & Gynecology | 5700 Monroe St, Sylvania, OH 43560-2767 | 2005-07-08 |
| 1730568049 | Kellen Goldschmidt | Obstetrics & Gynecology | 5308 Harroun Rd Ste 175, Sylvania, OH 43560-2190 | 2015-05-20 |
| 1639507445 | Flower Hospital | Obstetrics & Gynecology | 5855 Monroe St, Sylvania, OH 43560-2269 | 2013-10-15 |
| 1396179073 | Robert Drenchko | Obstetrics & Gynecology | 5700 Monroe Street, Graduate Medical Education, Sylvania, OH 43560 | 2013-08-29 |
| 1952642662 | Brittany Victoria Denny | Obstetrics & Gynecology | 5308 Harroun Rd Ste 175, Sylvania, OH 43560-2190 | 2013-03-05 |
| 1255475372 | Promedica Central Physicians, LLC | Obstetrics & Gynecology | 5300 Harroun Rd, Suite 226, Sylvania, OH 43560-2182 | 2007-02-20 |
| 1407996333 | Promedica Central Physicians | Obstetrics & Gynecology | 5308 Harroun Rd, Suite 175, Sylvania, OH 43560-2114 | 2007-02-08 |
| Find all providers in SYLVANIA | ||||
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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.