DONALD C. JACKSON (NPI# 1932181096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932181096 |
| Entity Type | Individual |
| Full Name | DONALD C. JACKSON |
| Credential | MD |
| Practice Address |
720 Newman Rd New Bern NC 28562-5238 |
| Mailing Address |
Po Box 12065 New Bern NC 28561-2065 |
| Practice Telephone | 2526335057 |
| Practice Fax Number | 2526330084 |
| Mailing Telephone | 2526335057 |
| Mailing Fax Number | 2526330084 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2007-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
18367 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | VYTRA | 159350 | 01 |
| NC | MAMSI | 760158 | 01 |
| NC | BCBS OF NC | 45510 | 01 |
| NC | 8945510 | 05 | |
| NC | MEDCOST | C5189 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700200086 | Donald Jackson Jr. | Preventive Medicine | 2500 E Grand Blvd, Medical Dept, Detroit, MI 48211-2006 | 2014-02-07 |
| 1942577200 | Donald Jefferson Jackson | Social Worker | 434 Atkinson St, Laurinburg, NC 28352-3714 | 2011-11-30 |
| 1366684839 | Donald Wayne Jackson | Case Manager/Care Coordinator | 3434 Mount Burnside Way, Woodbridge, VA 22192-1013 | 2009-03-30 |
| 1760500649 | Donald William Jackson | Dentist | 1909 A Mission 66, Vicksburg, MS 39180-3711 | 2007-03-27 |
| 1588722466 | Donald A Jackson | Psychologist | Nced Ms 285, University of Nevada, Reno, Reno, NV 89557-1285 | 2006-12-05 |
| 1215310115 | Donald Lee Jackson Jr. | Counselor | 1030 Village Dr Ste B, Watkinsville, GA 30677-6004 | 2015-07-09 |
| 1811185721 | Donald John Jackson | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2007-10-05 |
| 1588876965 | Donald Murphy Jackson | Dentist | 712 S Main St, North East, MD 21901-4126 | 2007-05-05 |
| 1609997584 | Donald L Jackson | Counselor | 1012 14th St Nw, Suite 1000, Washington, DC 20005-3403 | 2007-04-02 |
| 1407947039 | Donald J. Jackson | Physician Assistant | 185 Grafton Rd., Townshend, VT 05353 | 2006-09-27 |
| Street Address |
720 NEWMAN RD |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562-5238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033191168 | Samuel Joseph Buff | Nuclear Medicine | 720 Newman Rd, New Bern, NC 28562-5238 | 2005-11-15 |
| 1841272465 | Stephen N Sides II | Nuclear Medicine | 720 Newman Rd, New Bern, NC 28562-5238 | 2005-11-18 |
| 1619959459 | Thomas W. Stohrer | Nuclear Medicine | 720 Newman Rd, New Bern, NC 28562-5238 | 2005-11-17 |
| 1154303907 | Garret P. Young | Nuclear Medicine | 720 Newman Rd, New Bern, NC 28562-5238 | 2005-11-17 |
| 1790767473 | Catherine J. Everett | Nuclear Medicine | 720 Newman Rd, New Bern, NC 28562-5238 | 2005-11-17 |
| 1205818226 | James C. Lorentzen | Nuclear Medicine | 720 Newman Rd, New Bern, NC 28562-5238 | 2005-11-16 |
| 1306828207 | Timothy C. Sloan | Nuclear Medicine | 720 Newman Rd, New Bern, NC 28562-5238 | 2005-11-16 |
| 1841272986 | Elizabeth G. D'angelo | Nuclear Medicine | 720 Newman Rd, New Bern, NC 28562-5238 | 2005-11-15 |
| 1356323406 | Christopher W. Flye | Nuclear Medicine | 720 Newman Rd, New Bern, NC 28562-5238 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
| Find all providers in zip 28562 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174603385 | Daniel Wendell Gabier | Radiology | 133 Dylan Ln, New Bern, NC 28562-7817 | 2006-10-16 |
| 1093058620 | Enrique Rodriguez | Radiology | 722 Newman Rd, New Bern, NC 28562-5238 | 2013-04-02 |
| 1437266798 | Robert Francis Bowerman | Radiology | 722 Newman Rd, New Bern, NC 28562-5238 | 2006-08-24 |
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|---|---|---|---|---|
| 1700490232 | Wake Forest Baptist Imaging, LLC | Radiology | 861 Old Winston Rd Ste 105, Kernersville, NC 27284-7141 | 2020-09-02 |
| 1770195166 | Sonocare, LLC | Radiology | 2579 Chimney Rock Rd Fl 2, Hendersonville, NC 28792-9181 | 2020-08-18 |
| 1700497492 | Raleigh Radiology Imaging Network, LLC | Radiology | 505 Oberlin Rd Ste 110, Raleigh, NC 27605-1345 | 2020-08-14 |
| 1144831611 | Raleigh Radiology Enterprises, LLC | Radiology | 101 Lattner Ct Ste 101, Morrisville, NC 27560-9584 | 2020-08-10 |
| 1245859453 | Triad Breast Imaging Center, LLC | Radiology | 3515 W Market St Ste 320, Greensboro, NC 27403-4438 | 2020-04-09 |
| 1265065098 | Dylan Moore | Radiology | 69 Beechwood Rd, Asheville, NC 28805-2329 | 2020-02-20 |
| 1346898632 | Mohamed Khalif Osman Warfa | Radiology | Diagnostic Radiology, Wake Forest School of Medicine, 1 Medical Boulevard, Winston-salem, NC 27157-0001 | 2019-08-29 |
| 1568023190 | Bay Imaging Consultants Medical Group Inc | Radiology | 1226 Brickfield Dr., Cary, NC 27519 | 2019-06-25 |
| 1942781455 | Mcpc-19, LLC | Radiology | 2919 Beechtree Dr Ste 1200, Sanford, NC 27330-6934 | 2018-08-23 |
| 1235619321 | Sonocare, LLC | Radiology | 611 Mocksville Ave Ste 203, Salisbury, NC 28144-2738 | 2018-08-17 |
| 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.