DR. JEFFREY A JACKSON


Address: 720 Eskenzi Ave., Indianapolis, IN 46202-5166
Phone: 3178804103

DR. JEFFREY A JACKSON (NPI# 1972563443) 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) 1972563443
Entity Type Individual
Full Name DR. JEFFREY A JACKSON
Credential MD
Practice Address 720 Eskenzi Ave.
Indianapolis
IN 46202-5166
Mailing Address 250 N Shadeland Ave
Suite 130 - Provider Enrollment
Indianapolis
IN 46219-4959
Practice Telephone 3178804103
Practice Fax Number 3178800302
Enumeration Date 2006-03-27
Last Update Date 2016-05-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
01062685A IN Allopathic & Osteopathic Physicians
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
G8711 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX CSHCN 1010571-01 01
TX BLUE SHIELD 807573 01
TX RR/MEDICARE 460002994 01
TX 1010571-02 05
IN 201350760 05

Other Providers JEFFREY JACKSON

NPI Name Taxonomy Address Enumeration
1578193181 Jeffrey Jackson Student in an Organized Health Care Education/Training Program 1055 W Longfellow Dr, Manteno, IL 60950-9472 2020-01-22
1881259570 Jeffrey Lamar Jackson II Chiropractor 13865 S Dixie Hwy # 307, Miami, FL 33176-7221 2019-05-08
1548753965 Jeffrey Jackson Social Worker 2024 Corporate Centre Dr Ste 103, Myrtle Beach, SC 29577-7410 2018-06-11
1154792422 Jeffrey Scott Jackson Occupational Therapy Assistant 3209 Bristol Hwy., Nhc Healthcare, Johnson City, TN 37601 2015-10-13
1447481205 Jeffrey Brown Jackson Marriage & Family Therapist 450 N University Ave, Suite 204, Provo, UT 84601-2860 2009-07-28
1952421927 Jeffrey W Jackson Pharmacist 5510 Lafayette Rd Ste 260, Indianapolis, IN 46254-1691 2007-03-30
1659432607 Jeffrey L Jackson Internal Medicine 500o W National Ave, Milwaukee, WI 53295-0001 2006-12-13
1760589477 Jeffrey Scott Jackson Pharmacist 16821 Rosman Hwy, Lake Toxaway, NC 28747-9593 2006-09-17
1194764860 Jeffrey Kline Jackson Family Medicine 2200 W Touhy Ave, Chicago, IL 60645-3412 2006-06-06
1033759154 Jeffrey Frank Jackson Nurse Anesthetist, Certified Registered 2142 N Cove Blvd, Toledo, OH 43606-3895 2020-01-07

Office Location

Street Address 720 ESKENZI AVE.
City INDIANAPOLIS
State IN
Zip Code 46202-5166

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790386886 Sara Brooke Horn Registered Nurse 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 2020-11-04
1013521905 Zachary Camden Grimes Registered Nurse 720 Eskenazi Avenute, Indianapolis, IN 46202 2020-09-08
1790314045 Scott C Mitchell II Student in an Organized Health Care Education/Training Program Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 2020-04-07
1053940676 James Patrick Kelly Iv Student in an Organized Health Care Education/Training Program 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 2020-04-06
1124657697 Betsy Wilson Stevens Student in an Organized Health Care Education/Training Program 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 2020-04-06
1093340580 Brian T Edmonds Social Worker Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 2020-03-05
1326683210 Lindsay Nicole Rich Nurse Practitioner 1800 N Senate Ave, Indianapolis, IN 46202 2019-11-14
1427693670 Ronald Mcdonald House Charities of Central Indiana Voluntary or Charitable 435 Limestone Street, Indianaplois, IN 46202 2019-11-12
1790344760 Kirsten Denise Leaberry Student in an Organized Health Care Education/Training Program Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 2019-06-12
1679138093 Chris Olson Jr. Student in an Organized Health Care Education/Training Program 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 2019-05-02
Find all providers in zip 46202

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
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
1679080683 Gregory Alan Gaich Internal Medicine 5891 N New Jersey St, Indianapolis, IN 46220-2534 2017-12-29
1154833002 Endocrinology & Diabetes of Indiana LLC Internal Medicine 9240 N Meridian St Ste 240, Indianapolis, IN 46260-1876 2017-11-01
1669909388 Primariahealth, PC Internal Medicine 9365 Counselors Row Ste 210, Indianapolis, IN 46240-6418 2017-05-11
1083078943 James K Malone Internal Medicine 5256 N Illinois St, Indianapolis, IN 46208-2636 2016-04-07
1124301106 Charles Malcolm Clark Jr. Internal Medicine 2802 Lafayette Road Suite 13, Eagledale Health Center, Indianapolis, IN 46222-2112 2011-09-26
1891920914 Anne Caroline Kitchens Internal Medicine 8435 Clearvista Pl Ste 101, Indianapolis, IN 46256 2009-05-19
1790941383 Louis Vignati Internal Medicine 8515 Olde Mill Circle West Dr, Indianapolis, IN 46260-2372 2008-08-03
1992960140 Janet Tobian Internal Medicine 9121 Walnut Grove Dr, Indianapolis, IN 46236-8533 2008-07-26
1376684993 Eugene Henry Lamkin Jr. Internal Medicine 4145 Washington Blvd, Indianapolis, IN 46205-2616 2007-02-08
1639192743 Andrew Cagle Internal Medicine 7310 Preamble Ct, Indianapolis, IN 46259-5751 2006-07-26
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46202

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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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