JERRY JAY JACKSON (NPI# 1881874584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881874584 |
| Entity Type | Individual |
| Full Name | JERRY JAY JACKSON |
| Credential | MD |
| Practice Address |
3134 Northside Dr Bldg B Key West FL 33040-8004 |
| Practice Telephone | 3058095278 |
| Mailing Telephone | 3058095278 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2013-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
64653 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
ME114239 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023549805 | Jerry Jackson | Social Worker | 7937 Westmoreland Ave, Parkville, MD 21234-5435 | 2017-03-23 |
| 1154423234 | Jerry S Jackson | Podiatrist | 300 Aztec St, Montezuma, KS 67867 | 2006-09-01 |
| 1386632081 | Jerry D Jackson | Pharmacist | 415 Springwood Dr, Spartanburg, SC 29302-4047 | 2005-10-07 |
| 1265994313 | Jerry Scott Jackson | Hearing Instrument Specialist | 2601 S Ih 35 Ste A300, Round Rock, TX 78664-7358 | 2019-04-05 |
| 1083097901 | Jerry Louis Jackson Jr. | Marriage & Family Therapist | 801 W 70th St, Los Angeles, CA 90044-5218 | 2015-07-09 |
| 1902053549 | Jerry Jackson | Registered Nurse | 1830 Flower St, Bakersfield, CA 93305-4144 | 2008-08-26 |
| 1821261355 | Jerry W Jackson | Pharmacist | 801 Stadium Dr, Suite # 111, Arlington, TX 76011-6254 | 2008-04-04 |
| 1528182102 | Jerry Camal Jackson | Counselor | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2007-03-19 |
| 1356423594 | Jerry Edwin Jackson Jr. | Counselor | 3963 Market Street, Suite A, Wilmington, NC 28403 | 2006-10-19 |
| 1699887166 | Jerry Michael Jackson | Counselor | 11016 Ne 2nd Pl, Bellevue, WA 98004-5830 | 2006-08-31 |
| Street Address |
3134 NORTHSIDE DR BLDG B |
| City | KEY WEST |
| State | FL |
| Zip Code | 33040-8004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386733897 | Rachelle Richardson | Registered Nurse | 3134 Northside Dr, Bld B, Key West, FL 33040-8004 | 2006-10-12 |
| 1548488778 | Old Town Community Health Center | General Practice | 3134 Northside Dr, Key West, FL 33040-8004 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326668120 | Key West Nursing Home Propco LLC | Skilled Nursing Facility | 5860 College Road, Key West, FL 33040 | 2020-04-21 |
| 1811461262 | Housing Authority of The Key West | Assisted Living Facility | 1664 Dunlap Drive, Key West, FL 33040 | 2019-01-18 |
| 1154833077 | Katrina Karr Pfander | Speech-Language Pathologist | 24 Jade Dr., Unit 6, Key West, FL 33040 | 2017-11-01 |
| 1356866529 | Kelli Stolar | Case Manager/Care Coordinator | 1205 Fourth Street, Key West, FL 33040 | 2017-08-09 |
| 1861931065 | Kathy Snyder | Case Manager/Care Coordinator | 1205 Fourth St, Key West, FL 33040 | 2017-02-21 |
| 1649722984 | Schanae Cunningham | Social Worker | 1502 Salmon Court, Key West, FL 33040 | 2016-11-03 |
| 1700286127 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 5610 Overseas Highway, Stock Island, FL 33040 | 2014-09-04 |
| 1255747945 | Paul A Tate Jr. | Emergency Medicine | Naval Branch Health Clinic Key West, 1300 Douglas Cir, Key West, FL 33040 | 2014-07-02 |
| 1851644629 | Erin Sheehan | Registered Nurse | 1200 Kennedy Dr Fl 2, Key West, FL 33040 | 2012-10-18 |
| 1861743197 | Sarah Miranda Cox | Social Worker | 1217 White St Ste 201, Key West, FL 33040 | 2012-09-26 |
| Find all providers in zip 33040 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356314934 | Mark Eric Whiteside | Internal Medicine | 1100 Simonton St, Key West, FL 33040-3110 | 2006-02-13 |
| 1043551468 | Id Consults and Services, Pa | Internal Medicine | 3142 Northside Dr, Suite 101, Key West, FL 33040-8012 | 2013-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659002 | Sq2 Medical Pllc | Internal Medicine | 13172 N Dale Mabry Hwy, Tampa, FL 33618-2406 | 2020-11-02 |
| 1750998654 | Marian Infectious Disease Pllc | Internal Medicine | 10174 Belcrest Blvd, Fort Myers, FL 33913-2607 | 2020-09-25 |
| 1356957146 | Nathaniel Duke Md Pa | Internal Medicine | 825 Sunflower Cir, Weston, FL 33327-2112 | 2020-09-17 |
| 1538771803 | Infectious Disease Medical Care Pa | Internal Medicine | 5258 Linton Blvd Ste 203, Delray Beach, FL 33484-6529 | 2020-08-18 |
| 1659998573 | Aids Healthcare Foundation | Internal Medicine | 4308 Alton Rd # 950960, Miami Beach, FL 33140-4556 | 2020-06-26 |
| 1063031524 | Overflow Health Alliance Inc | Internal Medicine | 3416 Moncrief Rd # 101, Jacksonville, FL 32209-4340 | 2020-04-14 |
| 1366076515 | Kielle Medical Limited Liability Company | Internal Medicine | 5988 Duckweed Rd, Lake Worth, FL 33449-5810 | 2020-02-26 |
| 1538709993 | First Class Medicine LLC | Internal Medicine | 4699 Fox View Pl, Lake Worth, FL 33467-3540 | 2020-01-13 |
| 1093356842 | Crew Community Health, Inc | Internal Medicine | 8601 Commodity Circle, Orlando, FL 32819 | 2019-10-03 |
| 1881162402 | Lisa Jeanne Sanders | Internal Medicine | 1315 E 7th Ave Ste 104, Tampa, FL 33605-3606 | 2018-11-13 |
| Find all providers with the same taxonomy | ||||
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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.