MR. JAMES RICHARD JACKSON (NPI# 1871648253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871648253 |
| Entity Type | Individual |
| Full Name | MR. JAMES RICHARD JACKSON |
| Credential | PA-C |
| Practice Address |
3403 S Padre Island Dr Ste 301 Corpus Christi TX 78415-2925 |
| Mailing Address |
13310 Leopard St Ste 6 Corpus Christi TX 78410 |
| Practice Telephone | 3614453969 |
| Practice Fax Number | 3614453970 |
| Mailing Telephone | 3612412722 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2015-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA04123 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373456 | James Andy Jackson | Counselor | 14239 Charles Pollock Ave, El Paso, TX 79938-3197 | 2020-10-14 |
| 1770905200 | James Jackson | Legal Medicine | 1404 Chandler Rd Se, Huntsville, AL 35801-1406 | 2014-01-17 |
| 1811282247 | James Allen Jackson | Social Worker | 5209 Point Fosdick Dr Nw Ste 205, Gig Harbor, WA 98335 | 2011-06-14 |
| 1154656460 | James Bruce Jackson | Surgery | 2004 Lexington Ave, Mansfield, OH 44907-3024 | 2009-10-05 |
| 1710118625 | James W Jackson | Behavioral Analyst | 1111 N Cedar Rd, New Lenox, IL 60451-1419 | 2009-07-27 |
| 1386843050 | James Andrew Jackson | Dentist | 228 Main St., Nettleton, MS 38858 | 2007-07-13 |
| 1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1518003078 | James Edward Jackson | Social Worker | 736 Se 18th Ave, Ocala, FL 34471-4114 | 2007-01-30 |
| 1891848529 | James Fred Jackson | Dentist | 1193 Pineview Dr, Morgantown, WV 26505-2700 | 2007-01-18 |
| 1275682403 | James Paul Jackson | Optometrist | 1845 Main Ave, Durango, CO 81301-5035 | 2007-01-09 |
| Street Address |
3403 S PADRE ISLAND DR STE 301 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78415-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639702236 | The Landing At Corpus Christi | Residential Treatment Facility, Emotionally Disturbed Children | 2058 Fm 665, Corpus Christi, TX 78415 | 2020-02-21 |
| 1578093506 | Texas Wellness Center of Corpus Christi Pllc | Chiropractor | 6122 Kostoryz Road, 102, Corpus Christi, TX 78415 | 2017-06-13 |
| 1740574300 | William Lee Townsend | Technician, Other | 2910 South Padre Island Drive, Corpus Christi, TX 78415 | 2011-06-01 |
| 1144523671 | Coastal Bend Wellness Foundation Inc | Case Manager/Care Coordinator | 2882 Holly Rd., Corpus Christi, TX 78415 | 2010-12-06 |
| 1528230422 | True Medical Imaging | Clinic/Center | 3502 Spid, Corpus Christi, TX 78415 | 2008-03-31 |
| 1396949152 | Medical Specialist Group Pa | Physical Medicine & Rehabilitation | 3434 Saratoga Boulevard, Corpus Christi, TX 78415 | 2007-06-13 |
| 1396809158 | Access Rehab & Mobility LLC | Durable Medical Equipment & Medical Supplies | 4531 Ayers St, Suite 304, Corpus Christi, TX 78415 | 2006-12-19 |
| 1912065954 | Jorge S Rodriguez | Legal Medicine | 3845 Spid, Corpus Christi, TX 78415 | 2006-12-04 |
| 1407920200 | Charles Albert Votzmeyer Jr. | Chiropractor | 3434 Saratoga 102, Corpus Christi, TX 78415 | 2006-11-20 |
| 1144390899 | American Habilitation Services Inc | Intermediate Care Facility, Mentally Retarded | 3031 Mcardle, Corpus Christi, TX 78415 | 2006-11-09 |
| Find all providers in zip 78415 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922629104 | Alejandro Castro Jr. | Physician Assistant | 6122 Kostoryz Rd, Corpus Christi, TX 78415-2440 | 2020-04-29 |
| 1518471564 | Astute Assistants, Pllc | Physician Assistant | 2732 S Padre Island Dr # 211, Corpus Christi, TX 78415-1808 | 2017-11-29 |
| 1467996785 | Marc Stearman | Physician Assistant | 15325 Bonasse Ct, #g, Corpus Christi, TX 78418-6977 | 2016-12-05 |
| 1982977088 | Cesar Omar Munoz | Physician Assistant | 613 Elizabeth St Ste 804, Corpus Christi, TX 78404-2231 | 2012-02-21 |
| 1396986360 | Traci Harp Ellison | Physician Assistant | 1201 Leopard St Fl 6, Corpus Christi, TX 78401-2120 | 2009-03-20 |
| 1528223658 | Kimberly A Petrila | Physician Assistant | 5920 Saratoga Blvd Ste 600a, Corpus Christi, TX 78414-4119 | 2008-07-29 |
| 1194904789 | Suzanne White | Physician Assistant | 6014 Strasbourg Dr, Corpus Christi, TX 78414-6254 | 2007-10-30 |
| 1881782860 | Suzan Renee Salter | Physician Assistant | 7121 S. Padre Island Dr Ste 300, Thomas Span Clinic, Corpus Christi, TX 78912 | 2006-10-11 |
| 1205898053 | Kristi Thulin | Physician Assistant | 5734 Spohn Dr, Corpus Christi, TX 78414-4116 | 2006-04-06 |
| 1033103841 | Anthony John Herd | Physician Assistant | 9929 S Padre Island Dr Ste 109, Corpus Christi, TX 78418-5148 | 2005-09-07 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78415 |
Please comment or provide details below to improve the information on MR. JAMES RICHARD 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.