Michael W Jackson (NPI# 1124019989, PAC ID# 1759456601) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1124019989 |
| PAC ID by PECOS | 1759456601 |
| Professional Enrollment ID | I20080812000736 |
| Full Name | Michael W Jackson |
| Organization Legal Name | MEMORIAL HERMANN MEDICAL GROUP URGENT CARE |
| Address |
19419 Gulf Fwy Suite 3 Webster TX 77598-2809 |
| Phone Number | 2813160885 |
| Gender | M |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9537458310 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450184 | MEMORIAL HERMANN HOSPITAL SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 19419 Gulf Fwy, Suite 3, Webster, TX 77598-2809 | 2813160885 | MEMORIAL HERMANN MEDICAL GROUP URGENT CARE |
| Organization Legal Name | MEMORIAL HERMANN MEDICAL GROUP URGENT CARE |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bobbie Harris | Nurse Practitioner | Memorial Hermann Medical Group Urgent Care | 4500 Washington Ave, Suite 100, Houston, TX 77007-5477 |
| Dino Q Nguyen | Family Medicine | Memorial Hermann Medical Group Urgent Care | 1505 E Winding Way Dr, Suite 112, Friendswood, TX 77546-5395 |
| Darrell R Dixon | Family Medicine | Memorial Hermann Medical Group Urgent Care | 1227 Museum Square Dr, Suite A, Sugar Land, TX 77479-4630 |
| Dipen Patel | Family Medicine | Memorial Hermann Medical Group Urgent Care | 5102 Fm 1463 Rd, Suite 1200, Katy, TX 77494-7869 |
| Anh Q Tong | Family Medicine | Memorial Hermann Medical Group Urgent Care | 19711 Stuebner Airline Rd, Suite 1, Spring, TX 77379-5448 |
| Timothy Kowaleski | Family Medicine | Memorial Hermann Medical Group Urgent Care | 1227 Museum Square Dr, Suite A, Sugar Land, TX 77479-4630 |
| Ha T B Nguyen | Internal Medicine | Memorial Hermann Medical Group Urgent Care | 1505 E Winding Way Dr, Suite 112, Friendswood, TX 77546-5395 |
| Anju Mathews Chacko | Family Medicine | Memorial Hermann Medical Group Urgent Care | 1505 E Winding Way Dr, Suite 112, Friendswood, TX 77546-5395 |
| Jennifer A Ukwu | Family Medicine | Memorial Hermann Medical Group Urgent Care | 1227 Museum Square Dr, Suite A, Sugar Land, TX 77479-4630 |
| Eugenio Bacani | Family Medicine | Memorial Hermann Medical Group Urgent Care | 1227 Museum Square Dr, Suite A, Sugar Land, TX 77479-4630 |
| Street Address |
19419 GULF FWY SUITE 3 |
| City | WEBSTER |
| State | TX |
| Zip | 77598-2809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marlyn Generillo | Family Medicine | Memorial Hermann Medical Group | 19419 Gulf Fwy, Suite 3, Webster, TX 77598-2809 |
| Heather J Peniuk | Family Medicine | Memorial Hermann Medical Group Urgent Care | 19419 Gulf Fwy, Suite 3, Webster, TX 77598-2809 |
| Thanh-thao T Le | Family Medicine | Memorial Hermann Medical Group Urgent Care | 19419 Gulf Fwy, Suite 3, Webster, TX 77598-2809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meena Eswaran | Family Medicine | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Mark G Macgregor | Internal Medicine | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Jason T Wang | Family Medicine | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Pamela H Cayer | Physician Assistant | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Tony Trang | Gastroenterology | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Oliver C Wu | Family Medicine | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Sara L Meloche | Internal Medicine | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Li-min Hwang | Obstetrics/gynecology | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Emanuel Nazario-irizarry | Internal Medicine | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Amita D Patel | Optometry | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Find all physicians in zip 77598 | |||
| City | WEBSTER |
| Zip Code | 77598 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WEBSTER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael W 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.