DR. ROBERT C JACKSON (NPI# 1861472532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861472532 |
| Entity Type | Individual |
| Full Name | DR. ROBERT C JACKSON |
| Credential | MD |
| Practice Address |
9430 Park West Blvd Suite 130 Knoxville TN 37923-4200 |
| Mailing Address |
Po Box 32569 Knoxville TN 37930-2569 |
| Practice Telephone | 8656904861 |
| Practice Fax Number | 8655608525 |
| Mailing Telephone | 8656940062 |
| Mailing Fax Number | 8656947907 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2014-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 8261 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3163995 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701487 | Robert Jackson | Physical Therapist | 3056 Healthy Way Ste 116, Birmingham, AL 35243-2435 | 2019-10-11 |
| 1881003655 | Robert Donald Jackson | Social Worker | 151 Knollcroft Rd # 116d, Lyons, NJ 07939-5001 | 2014-08-06 |
| 1780005496 | Robert Earl Jackson Jr. | Community Health Worker | 17 Wickham Dr, Columbus, GA 31907-6328 | 2013-12-23 |
| 1073942371 | Robert Jackson | Massage Therapist | 502 11th St Se, Decatur, AL 35601-4908 | 2013-11-06 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1457515330 | Robert Anthony Jackson | Dentist | 2816 Veach Rd., Unit 305, Owensboro, KY 42303 | 2008-07-10 |
| 1437357399 | Robert D Jackson | Counselor | 5525 Erindale Dr Ste 112, Colorado Springs, CO 80918-6960 | 2007-07-03 |
| 1174736029 | Robert Allan Jackson | Physician Assistant | 2109 Brookview Ter Apt B, Pekin, IL 61554-7320 | 2007-05-08 |
| 1144389347 | Robert W Jackson | Dentist | 209 Mimosa Dr, Thomasville, GA 31792-6633 | 2006-12-06 |
| 1144305152 | Robert Eric Jackson | Internal Medicine | 291 Indian Lake Blvd, Hendersonville, TN 37075-3653 | 2006-10-26 |
| Street Address |
9430 PARK WEST BLVD SUITE 130 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383022 | Henry Grady Arnold Jr. | Otolaryngology | 9430 Park West Blvd, Ste 330, Knoxville, TN 37923-4203 | 2005-06-01 |
| 1487193074 | Katherine Stevenson Mcfalls | Audiologist | 9430 Park West Blvd, Suite 330, Knoxville, TN 37923-4200 | 2017-02-16 |
| 1235674110 | Kathryn Marton | Registered Nurse | 9430 Park West Blvd, Suite 130, Knoxville, TN 37923-4200 | 2016-12-30 |
| 1467841288 | Kalyn Bradford | Audiologist | 9430 Park West Blvd, Suite 330, Knoxville, TN 37923-4200 | 2015-01-16 |
| 1427464114 | Tennessee Orthopaedic Clinics PC | Orthopaedic Surgery | 9430 Park West Blvd, Suite 230, Knoxville, TN 37923-4200 | 2014-07-02 |
| 1417361049 | Mitchell J Reynolds | Physical Therapist | 9430 Park West Blvd, Suite 230, Knoxville, TN 37923-4200 | 2014-06-11 |
| 1285973362 | Olivia M Guthrie | Physician Assistant | 9430 Park West Blvd, Suite 110, Knoxville, TN 37923-4200 | 2013-02-08 |
| 1427393495 | Jennifer A. Pugh | Occupational Therapist | 9430 Park West Blvd, Suite 230, Knoxville, TN 37923-4200 | 2012-12-03 |
| 1780952887 | Nicole Kathleen Hawk | Audiologist | 9430 Park West Blvd, Suite 335, Knoxville, TN 37923-4200 | 2011-12-05 |
| 1447546544 | Lora Elizabeth Greene | Obstetrics & Gynecology | 9430 Park West Blvd, Ste. 320 Generations Ob/gyn -, Knoxville, TN 37923-4200 | 2011-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
| 1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
| 1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
| 1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
| 1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
| 1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
| 1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
| Find all providers in zip 37923 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629317177 | Archer Wortman Bishop Jr. | Orthopaedic Surgery | 4 Forest Ct, Knoxville, TN 37919-5001 | 2013-02-04 |
| 1093071268 | Michael James Kern | Orthopaedic Surgery | 1926 Alcoa Hwy Ste 210, Knoxville, TN 37920 | 2012-04-02 |
| 1376836254 | William Ryan Mitchell | Orthopaedic Surgery | 10810 Parkside Dr Ste 209, Knoxville, TN 37934-1985 | 2011-05-25 |
| 1407174493 | Curtis Shannon Gaylord | Orthopaedic Surgery | 260 Fort Sanders West Blvd Bldg 6, Knoxville, TN 37922-3355 | 2010-05-14 |
| 1073747598 | Konstantinos Marino Triantafillou | Orthopaedic Surgery | 1926 Alcoa Hwy Bldg F, Suite 210, Knoxville, TN 37920 | 2009-05-12 |
| 1669616249 | David Holt | Orthopaedic Surgery | 260 Ft Sanders West Blvd, Knoxville, TN 37922-3355 | 2009-04-27 |
| 1518164235 | Family Orthopedic Clinic Pllc | Orthopaedic Surgery | 10810 Parkside Drive, Suite 109, Knoxville, TN 37934-1980 | 2007-06-27 |
| 1801980826 | Steven D Shonkwiler | Orthopaedic Surgery | 513 Newman St, Knoxville, IL 61448 | 2006-10-03 |
| 1750472650 | Orthotennessee, PC | Orthopaedic Surgery | 1422 Old Weisgarber Rd., Knoxville, TN 37909-2674 | 2006-09-27 |
| 1063498392 | Harold E Cates Jr. | Orthopaedic Surgery | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2005-12-19 |
| Find all providers in KNOXVILLE | ||||
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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.