Dewey T Jackson (NPI# 1659330108, PAC ID# 0244429579) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1659330108 |
PAC ID by PECOS | 0244429579 |
Professional Enrollment ID | I20110118000707 |
Full Name | Dewey T Jackson |
Address |
2828 Baird Rd Fairport NY 14450-1247 |
Phone Number | 5852489670 |
Gender | M |
Graduation Year | 1976 |
Primary Specialty | INTERNAL MEDICINE |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
2828 Baird Rd, Fairport, NY 14450-1247 | 5852489670 |
Street Address |
2828 BAIRD RD |
City | FAIRPORT |
State | NY |
Zip | 14450-1247 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joseph G Diprima | Podiatry | 2828 Baird Rd, Suite B, Fairport, NY 14450-1247 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lesley Anne Mack | Physical Therapy | Fairport Physical Therapy, PC | 59 Perinton Hills Shopping Ctr, Fairport, NY 14450 |
Matthew Stoutenburg | Physical Therapy | Fairport Physical Therapy, PC | 59 Perinton Hills Shopping Ctr, Fairport, NY 14450 |
Kellen Richard Rotach | Physical Therapy | Fairport Physical Therapy, PC | 59 Perinton Hills Shopping Ctr, Fairport, NY 14450 |
Rena D Pine | Internal Medicine | St. John's Penfield Homes Corporation | 65 -75 Sonoma Dr, Fairport, NY 14450-1064 |
Shannon L Oliverio | Nurse Practitioner | St. John's Penfield Homes Corporation | 65 -75 Sonoma Dr, Fairport, NY 14450-1064 |
Melissa A Pullin | Nurse Practitioner | 4646 Nine Mile Point Rd, Fairport, NY 14450-1163 | |
Ralph Saverio Viola | Ophthalmology | 1157 Fairport Rd, Suite 201, Fairport, NY 14450-1237 | |
Benjamin A Caruso | Chiropractic | 1157 Fairport Rd, Fairport, NY 14450-1237 | |
Erin M Thompson | Clinical Social Worker | 6 N Main St, Fairport, NY 14450-1524 | |
Barbara J Norton | Clinical Social Worker | 6 N Main St, Fairport, NY 14450-1524 | |
Find all physicians in zip 14450 |
City | FAIRPORT |
Zip Code | 14450 |
Specialty | INTERNAL MEDICINE |
City + Specialty | FAIRPORT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Dewey T Jackson.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.