DR. CARY V. JACKSON


Address: 401 E Hawaii, Nampa, ID 83686
Phone: 2083022100

DR. CARY V. JACKSON (NPI# 1932169042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932169042
Entity Type Individual
Full Name DR. CARY V. JACKSON
Credential MD
Practice Address 401 E Hawaii
Nampa
ID 83686
Mailing Address 3340 East Goldstone Way
Meridian
ID 83642-1026
Practice Telephone 2083022100
Practice Fax Number 2083022125
Mailing Telephone 2083022100
Mailing Fax Number 2083022125
Enumeration Date 2006-03-23
Last Update Date 2016-11-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
M-5647 ID Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
M5647 ID Allopathic & Osteopathic Physicians

Other Providers CARY JACKSON

NPI Name Taxonomy Address Enumeration
1578729224 Cary V Jackson Dentist 2612 W Broadway, Council Bluffs, IA 51501-3510 2008-08-01

Office Location

Street Address 401 E HAWAII
City NAMPA
State ID
Zip Code 83686

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467525949 Dan J Hendrickson Internal Medicine 401 E Hawaii, Nampa, ID 83686 2006-11-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184255960 Kristine Lynn Fitts-eisenbrandt Social Worker 270 W. Gerogia Ave., Nampa, ID 83686 2020-01-30
1669025706 Vitality Family Chiropractic, Pllc Chiropractor 3189 E Greenhurst Rd, Nampa, ID 83686 2019-07-18
1871150185 King's Peak Investments, Inc. Substance Abuse Rehabilitation Facility 8898 Idaho 45, Nampa, ID 83686 2019-05-22
1154805786 Jmj Nampa LLC Dentist 914 12th Ave Rd, Nampa, ID 83686 2018-09-19
1518448703 Michel Cox Pharmacy Technician 2219 12th Ave S, Nampa, ID 83686 2018-08-24
1437504909 5 Peppers Inc Family Medicine 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 2016-05-03
1811369549 Anna Stoia Physician Assistant 4401 E. Tuscany Ave., Nampa, ID 83686 2015-10-21
1144699307 Jamie Green Social Worker 112 12th Avenue Rd., Nampa, ID 83686 2015-09-17
1174927933 Bower Chiropractic Inc Chiropractor 304 12th Ave Rd, Nampa, ID 83686 2014-10-22
1285037093 Rosemary Phelps Registered Nurse 353 W. Iowa, Nampa, ID 83686 2014-10-07
Find all providers in zip 83686

Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275979692 Katarzyna Kaczmarczyk Internal Medicine 4400 E Flamingo Ave, Ste 200, Nampa, ID 83687 2013-05-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407124753 Idaho Falls Pulmonary Sleep & Critical Care Specialists Internal Medicine 2442 E 25th St, Idaho Falls, ID 83404-7549 2011-12-01
1831423557 Idagem Services Inc Internal Medicine 1533 N Milwaukee St, Ste 321, Boise, ID 83704-8471 2009-09-28
1417102930 Joshua David Holweger Internal Medicine 1075 N Curtis, Ste 200, Boise, ID 83706-1350 2008-11-25
1659407716 Richard Keith Oehlschlager Internal Medicine 3036 Lakewood Way, Boise, ID 83706-5240 2007-02-25
1194861534 Richard J Robinson Internal Medicine 700 West Ironwood Drive, Suite 336, Coeur D'alene, ID 83814-4485 2007-01-30
1013946391 Janat E. O'donnell Internal Medicine 1075 N. Curtis Rd, Suite 200, Boise, ID 83706-1300 2006-06-30
1528002029 Ronald F Fullmer Internal Medicine 570 Shoup Ave W, Twin Falls, ID 83301-5029 2006-06-15
1932191319 Peter Lawrence Fort Internal Medicine 777 Hospital Way Ste 202, Pocatello, ID 83201-5175 2005-08-22
1932769700 Gritman Medical Center Inc Internal Medicine 700 S Main St, Moscow, ID 83843-3046 2019-06-14
1073027389 Jordan Joseph Cormier Internal Medicine 2330 Desoto St, Idaho Falls, ID 83404-7570 2017-11-22
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Competitor

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City NAMPA
Zip Code 83686

Improve Information

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Dataset Information

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.

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