CARL JACKSON (NPI# 1902263270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902263270 |
| Entity Type | Individual |
| Full Name | CARL JACKSON |
| Credential | PA-C |
| Practice Address |
8801 S 101st East Ave Tulsa OK 74133-5716 |
| Mailing Address |
22096 S 445th East Ave Porter OK 74454-3239 |
| Practice Telephone | 9185796090 |
| Mailing Telephone | 9186257927 |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 2616 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285848309 | Carl Dennis Jackson | Dentist | 3200 Concord Rd, Suite 200, Aston, PA 19014-1931 | 2007-05-09 |
| 1831208768 | Carl E. Jackson | Surgery | 386 Medway Rd, Highland Heights, OH 44143-3734 | 2006-08-30 |
| 1891078671 | Carl Edward Jackson | Counselor | 120 W Broadway St, Altus, OK 73521-3802 | 2011-09-28 |
| 1265510457 | Carl Jackson Jr. | Dentist | 145 Pelham Dr, Columbia, SC 29209-1321 | 2006-11-02 |
| Street Address |
8801 S 101ST EAST AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74133-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509727 | Wayne Joseph Gartner | Nurse Anesthetist, Certified Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2005-06-27 |
| 1932727047 | Ashley Rae Flowers | Student in an Organized Health Care Education/Training Program | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2020-07-07 |
| 1023669694 | Heather Nicole Chase | Physician Assistant | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2019-09-25 |
| 1194285825 | Kerri Francis | Dietitian, Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2019-03-20 |
| 1194227744 | Ashley L Wallace | Registered Nurse | 8801 S 101st East Ave, Tulsa, OK 74133 | 2018-02-28 |
| 1174034003 | Teresa Kathryn Hundley | Nurse Practitioner | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-10-18 |
| 1043751241 | Mallory Crutchfield | Dietitian, Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-03-20 |
| 1548701949 | Jennifer T Watkins | Dietitian, Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-03-17 |
| 1013456326 | Ahs Southcrest Hospital, LLC | Dietitian, Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-02-20 |
| 1124564075 | Emily Hutchinson | Nurse Practitioner | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| 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 |
|---|---|---|---|---|
| 1720620487 | Taehee Strauss | Physician Assistant | 5229 S Harvard Ave Apt H, Tulsa, OK 74135-3551 | 2019-10-15 |
| 1871134163 | Claire Anne Kifer | Physician Assistant | 155 E 29th Pl, Tulsa, OK 74114-5201 | 2019-10-08 |
| 1033750328 | Jazmine Denise Nicole Manns | Physician Assistant | 9132 E 37th Ct, Tulsa, OK 74145-3415 | 2019-10-08 |
| 1295376523 | Emily Montana Bergeron | Physician Assistant | 1417 W 78th St Apt 1213, Tulsa, OK 74132-4633 | 2019-10-08 |
| 1295376325 | Reagan Hahn | Physician Assistant | 7746 Riverside Pkwy Apt 203, Tulsa, OK 74136-7677 | 2019-09-30 |
| 1881245082 | Miranda Hamilton | Physician Assistant | 3726 E 43rd St, Tulsa, OK 74135-2743 | 2019-09-27 |
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1831740018 | Savannah Payne | Physician Assistant | 7734 Riverside Pkwy Apt 207f, Tulsa, OK 74136-7371 | 2019-09-27 |
| 1366093759 | Garrett Blubaugh | Physician Assistant | 8307 E 60th St Apt 2127, Tulsa, OK 74145-5014 | 2019-09-26 |
| 1649821547 | Madison Snow | Physician Assistant | 7734 Riverside Pkwy # 207, Tulsa, OK 74136-7670 | 2019-09-23 |
| Find all providers in TULSA | ||||
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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.