JOHN JACKSON III (NPI# 1992850036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992850036 |
| Entity Type | Individual |
| Full Name | JOHN JACKSON III |
| Credential | DO |
| Practice Address |
1721 Colfax St Schuyler NE 68661-1400 |
| Mailing Address |
7261 Mercy Rd Omaha NE 68124-2311 |
| Practice Telephone | 4023523745 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2017-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 268 | NE | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | DO159668 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 94244 Fourth Street, Gold Beach, OR 974447756 | 5412473509 | 5412473530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1063073310 | John Jackson | Speech-Language Pathologist | 2143 Mohawk Trl, Maitland, FL 32751-3950 | 2019-06-27 |
| 1992202832 | John Jackson | Physical Therapy Assistant | 209 Lake St, Chittenango, NY 13037-1518 | 2018-04-08 |
| 1063911105 | John Martin Jackson | Physical Therapy Assistant | 11118 Lantern Way, North Chesterfield, VA 23236-3575 | 2018-02-05 |
| 1184164493 | John Jackson | Emergency Medical Technician, Paramedic | 137 S Newport Ave, Newport, WA 99156-1942 | 2017-03-06 |
| 1508236837 | John Willard Jackson | Anesthesiology | 7857 Caruth Ct, Dallas, TX 75225-8133 | 2015-09-29 |
| 1043572035 | John Ferndale Jackson | Behavioral Analyst | 931 Azure Heights Place, Las Vegas, NV 89110 | 2012-06-14 |
| 1679830558 | John Michael Jackson | Pharmacist | 1000 Castlebay, Cincinnati, OH 45245-4910 | 2012-04-18 |
| 1013043553 | John Phillip Jackson | Occupational Therapist | 7810 Avenue U Apt B, Lubbock, TX 79423-2430 | 2007-02-26 |
| 1275673451 | John W Jackson | Pharmacist | 1667 Bellemeade Dr, Altoona, PA 16602-7402 | 2007-02-07 |
| Street Address |
1721 COLFAX ST |
| City | SCHUYLER |
| State | NE |
| Zip Code | 68661-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780601781 | Alegent Health Memorial Hospital Schuyler | Family Medicine | 1721 Colfax St, Schuyler, NE 68661 | 2006-07-16 |
| 1922507086 | Andrea Marie Vacha | Registered Nurse | 1721 Colfax St, Schuyler, NE 68661-1400 | 2018-02-05 |
| 1033464003 | Usha Kiran Kanthety | Family Medicine | 1721 Colfax St, Schuyler, NE 68661-1400 | 2012-07-17 |
| 1508170663 | Johanna M Missak | Family Medicine | 1721 Colfax St, Schuyler, NE 68661-1400 | 2010-07-31 |
| 1952531055 | Sandra Lee Doernemann | Nurse Practitioner | 1721 Colfax St, Schuyler, NE 68661-1400 | 2009-07-23 |
| 1689803397 | Christina M Cassel | Family Medicine | 1721 Colfax St, Schuyler, NE 68661-1400 | 2009-07-02 |
| 1447300496 | Thomas Wong | Family Medicine | 1721 Colfax St, Schuyler, NE 68661-1400 | 2007-01-11 |
| 1275690265 | Renee Michelle Johnson Sayer | Nurse Practitioner | 1721 Colfax St, Schuyler, NE 68661-1400 | 2007-01-02 |
| 1124185061 | Christopher T Miller II | Physician Assistant | 1721 Colfax St, Schuyler, NE 68661-1400 | 2007-01-02 |
| 1184709669 | Alegent Health Memorial Hospital, Schuyler | Clinic/Center | 1721 Colfax St, Schuyler, NE 68661-1400 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730605601 | Good Neighbor Community Health Center | Public Health or Welfare | 401 Adam Street, Schuyler, NE 68661 | 2017-08-22 |
| 1215451034 | Good Neighbor Community Health Center | Public Health or Welfare | 200 West 10th Street, Schuyler, NE 68661 | 2017-08-02 |
| 1144744954 | East Central District Health Department | Public Health or Welfare | 316 East 11th Street, Schuyler, NE 68661 | 2017-08-02 |
| 1528317476 | Margaret Jeanne Johnson | Occupational Therapist | 2023 Colfax Street, Schuyler, NE 68661 | 2012-09-06 |
| 1629104286 | Ronald L Dolezal | Dentist | 216 E 10th St, Schuyler, NE 68661 | 2007-02-26 |
| 1710073895 | Cunningham Drug Inc | Pharmacy | 220 E 12th St, Schuyler, NE 68661 | 2006-10-05 |
| 1841310604 | Megan Thornton | Pharmacist | 122 W 16th St, Schuyler, NE 68661 | 2007-03-29 |
| 1831140136 | Ggnsc Schuyler LLC | Skilled Nursing Facility | 2023 Colfax St, Schuyler, NE 68661-1025 | 2006-05-12 |
| 1316494206 | Schuyler Care and Rehabilitation Center, LLC | Assisted Living Facility | 2023 Colfax St, Schuyler, NE 68661-1025 | 2016-09-08 |
| 1740531144 | Stacy Ann Seda | Physical Therapy Assistant | 2023 Colfax St, Schuyler, NE 68661-1025 | 2012-09-25 |
| Find all providers in zip 68661 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780601781 | Alegent Health Memorial Hospital Schuyler | Family Medicine | 1721 Colfax St, Schuyler, NE 68661 | 2006-07-16 |
| 1033464003 | Usha Kiran Kanthety | Family Medicine | 1721 Colfax St, Schuyler, NE 68661-1400 | 2012-07-17 |
| 1508170663 | Johanna M Missak | Family Medicine | 1721 Colfax St, Schuyler, NE 68661-1400 | 2010-07-31 |
| 1689803397 | Christina M Cassel | Family Medicine | 1721 Colfax St, Schuyler, NE 68661-1400 | 2009-07-02 |
| 1447300496 | Thomas Wong | Family Medicine | 1721 Colfax St, Schuyler, NE 68661-1400 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898907 | Physician Management Services of Nebraska, LLC | Family Medicine | 2222 S 16th St Ste 435, Lincoln, NE 68502-3793 | 2020-07-14 |
| 1891313706 | Me Urgent Care Nebraska, Inc | Family Medicine | 28800 Ida Cir, Valley, NE 68064-8017 | 2020-07-07 |
| 1356968408 | Joanna Sarah Jacob | Family Medicine | 3601 Jones St Apt 350, Omaha, NE 68105-1526 | 2020-07-05 |
| 1255958443 | Sreelakshmi Surendran Pillai | Family Medicine | 7710 Mercy Road, Suite 202-cu, Department of Family Mediicine, Omaha, NE 68124-2353 | 2020-07-03 |
| 1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
| 1831714062 | Allison Alise Bird | Family Medicine | Family Practice 983075 Nebraska Medical Center, Omaha, NE 68198-3075 | 2020-06-12 |
| 1508486416 | Bluestem Health | Family Medicine | 1500 S 48th St Ste 412, Lincoln, NE 68506-1278 | 2020-04-21 |
| 1285267526 | Banyan Medical Systems | Family Medicine | 8656 F St, Plaza F, Omaha, NE 68127-1639 | 2020-02-14 |
| 1669021796 | Melissa Prickett | Family Medicine | 14000 Hospital Road, Boys Town, NE 68010 | 2019-09-11 |
| 1144888579 | Lexington Regional Health Center | Family Medicine | 1101 Buffalo Bnd Ste A, Lexington, NE 68850-1528 | 2019-05-31 |
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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.