J CARVEL JACKSON (NPI# 1942262399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942262399 |
| Entity Type | Individual |
| Full Name | J CARVEL JACKSON |
| Credential | D.O. |
| Practice Address |
303 N Centennial Way Mesa AZ 85201-6733 |
| Practice Telephone | 4806493111 |
| Practice Fax Number | 4806493113 |
| Mailing Telephone | 4806493111 |
| Mailing Fax Number | 4806493113 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2010-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 2543 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 111328 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346633161 | J Ryan Jackson | Dermatology | 36359 N Gantzel Rd Ste 103, San Tan Valley, AZ 85140-7332 | 2015-03-18 |
| 1861485773 | J Kelsey Jackson | Physician Assistant | 520 N 4th Ave, Pulmonary Svcs, Pasco, WA 99301-5257 | 2005-08-25 |
| 1548376437 | J Robert Jackson | Nurse Anesthetist, Certified Registered | 115 Cass Ave, Northern Rhode Island Anesthesia Associates, PC, Woonsocket, RI 02895-4705 | 2006-08-22 |
| Street Address |
303 N CENTENNIAL WAY |
| City | MESA |
| State | AZ |
| Zip Code | 85201-6733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659340446 | Kaye Madison | Registered Nurse | 303 N Centennial Way, Mesa, AZ 85201-6733 | 2006-03-15 |
| 1255562591 | Health and Fitness Concepts | Specialist | 303 N Centennial Way, Mesa, AZ 85201-6733 | 2009-08-04 |
| 1366616336 | Rehab Arizona LLC | Clinic/Center | 303 N Centennial Way, Mesa, AZ 85201-6733 | 2008-04-21 |
| 1215105465 | Maureen Ann Petrides | Nurse Practitioner | 303 N Centennial Way, Mesa, AZ 85201-6733 | 2008-02-11 |
| 1700075199 | David Call | Physical Therapist | 303 N Centennial Way, Mesa, AZ 85201-6733 | 2007-10-22 |
| 1639386337 | Rehab Arizona Physical and Hand Rehabilition | Specialist | 303 N Centennial Way, Mesa, AZ 85201-6733 | 2007-05-16 |
| 1639215890 | Kurt Brett Giles | Physician Assistant | 303 N Centennial Way, Mesa, AZ 85201-6733 | 2007-01-29 |
| 1285685206 | Robert Scott Walker | Physical Therapist | 303 N Centennial Way, Mesa, AZ 85201-6733 | 2006-05-15 |
| 1033179007 | Christine N Moyer | Psychologist | 303 N Centennial Way, Mesa, AZ 85201-6733 | 2006-03-24 |
| 1841250628 | Paul A Meyer | Psychologist | 303 N Centennial Way, Mesa, AZ 85201-6733 | 2006-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053883546 | Southern Medical Group LLC | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 103, Mesa, AZ 85206-3628 | 2018-12-20 |
| 1275956799 | James Galaviz | Physical Medicine & Rehabilitation | 7900 E Eagle Crest Dr, Mesa, AZ 85207-1111 | 2014-02-04 |
| 1457645830 | Praveen Natakal Pakeerappa | Physical Medicine & Rehabilitation | 7436 E Main St Ste 1, Mesa, AZ 85207-9338 | 2011-06-03 |
| 1396047247 | Siena Physical Medicine LLC | Physical Medicine & Rehabilitation | 7227 E Baseline Rd Ste 106, Mesa, AZ 85209-5005 | 2010-11-29 |
| 1790908515 | John Christian Jones | Physical Medicine & Rehabilitation | 4862 E Baseline Rd Ste 108, Mesa, AZ 85206-4668 | 2007-04-10 |
| 1790793339 | James Edward Kilgore II | Physical Medicine & Rehabilitation | 1345 E Mckellips Rd Ste 101, Mesa, AZ 85203-2721 | 2006-08-03 |
| 1205818614 | Tutankhamen A Pappoe | Physical Medicine & Rehabilitation | 650 W Southern Ave, 2, Mesa, AZ 85210-5012 | 2005-11-20 |
| 1659364016 | Paul Anthony Blake | Physical Medicine & Rehabilitation | 123 N Centennial Way, Ste 252, Mesa, AZ 85201-6693 | 2005-08-31 |
| 1477011237 | East Southern Medical Group, LLC | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 103, Mesa, AZ 85206-3628 | 2019-03-11 |
| 1700342110 | East Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 103, Mesa, AZ 85206-3628 | 2019-02-11 |
| Find all providers in MESA | ||||
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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.