F. DANIEL JACKSON, MD, PA (NPI# 1962602458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962602458 |
| Entity Type | Organization |
| Organization Name | F. DANIEL JACKSON, MD, PA |
| Other Organization Name | THE IMAGING CENTER |
| Practice Address |
715 Williams Street Cumberland MD 21502 |
| Mailing Address |
Po Box 1692 Cumberland MD 21501-1692 |
| Practice Telephone | 3017593410 |
| Practice Fax Number | 3017593522 |
| Mailing Telephone | 3017593817 |
| Mailing Fax Number | 3017593043 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2011-05-17 |
| Authorized Official Name | DR. F. DANIEL JACKSON (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3017593410 |
| Authorized Official Credential | MD, PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
D0020433 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 440082800 | 05 | |
| MD | 305591400 | 05 |
| Other Name | Type Code |
|---|---|
| The Imaging Center | Doing Business As Name - Organization |
| Street Address |
715 WILLIAMS STREET |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558405266 | Western Maryland Health System Braddock Hospital Corporation | Clinic/Center | 900 Seton Dr, Cumberland, MD 21502-1854 | 2007-02-16 |
| 1609884238 | F. Daniel Jackson, Md, Pa T/a The Imaging Center | Clinic/Center | 715 Williams St, Cumberland, MD 21502-6390 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134605009 | The Center for Conception and Pelvic Surgery, Inc | Clinic/Center | 3202 Tower Oaks Blvd Ste 370b, Rockville, MD 20852 | 2018-07-13 |
| 1699286401 | Shore Health System, Inc | Clinic/Center | 10 Martin Ct Ste 100, Easton, MD 21601-4095 | 2017-10-19 |
| 1659899763 | Shore Health System, Inc | Clinic/Center | 1140 Blades Farm Road, Ste 102, Denton, MD 21629-3459 | 2017-09-08 |
| 1013323799 | Chesapeake Radiology of Bel Air | Clinic/Center | 2108 Emmorton Rd, Suite 8, Bel Air, MD 21015-6800 | 2014-07-02 |
| 1750688453 | First Imaging Center Inc | Clinic/Center | 8860 Columbia 100 Pkwy Suite 10, Columbia, MD 21045-2195 | 2011-02-16 |
| 1710088075 | Metropolitan Radiology Associates Chartered | Clinic/Center | 3327 Superior Lane, Suite 103, Bowie, MD 20715 | 2006-09-26 |
| 1518075753 | American Diagnostic Medicine | Clinic/Center | 7235 Hanover Pkwy, Suite A & B, Greenbelt, MD 20770-3601 | 2006-08-28 |
| 1427071604 | Affiliated Pet Systems LLC | Clinic/Center | 1400 Forest Glen Rd Ste 430, Silver Spring, MD 20910-1464 | 2006-07-26 |
| 1447283536 | Vymed Diagnostic Imamaging/salisbury LLC | Clinic/Center | 200 B East Vine Street, Salisbury, MD 21804 | 2006-07-09 |
| 1598702870 | Open Mri & Imaging Center of Elkton,llc | Clinic/Center | 301 Augustine Herman Hwy, Ste A, Elkton, MD 21921-6587 | 2006-06-02 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
Please comment or provide details below to improve the information on F. DANIEL JACKSON, MD, PA.
| 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.