Mark R Jackson
COVENANT MEDICAL GROUP


Address: 3615 19th St, Lubbock, TX 79410-1894
Phone: 8067251011

Mark R Jackson (NPI# 1003877077, PAC ID# 5991740599) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1003877077
PAC ID by PECOS 5991740599
Professional Enrollment ID I20050623000912
Full Name Mark R Jackson
Organization Legal Name COVENANT MEDICAL GROUP
Address 3615 19th St
Lubbock
TX 79410-1894
Phone Number 8067251011
Gender M
Credential MD
Medical School UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year 1995
Primary Specialty EMERGENCY MEDICINE
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 6901889393
Number of Group Practice Members 170
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
321300 SIERRA VISTA HOSPITAL
450040 COVENANT MEDICAL CENTER

Other Locations

Address Phone Organization
3615 19th St, Lubbock, TX 79410-1894 8067251011 COVENANT MEDICAL GROUP
800 E 9th Ave, Truth Or Consequences, NM 87901-1954 5758942111 EMERGENCY STAFFING SOLUTIONS INC

Organization Information

Organization Legal Name COVENANT MEDICAL GROUP
Physicians 185

Physicians with the same organization

Name Specialty Organization Address
Ryan C Owen Urology Covenant Medical Group 3612 23rd St, Lubbock, TX 79410-1326
David F Oakes Cardiac Electrophysiology Covenant Medical Group 3506 21st St, Suite 302, Lubbock, TX 79410-1212
Kyler W Barkley Cardiovascular Disease (cardiology) Covenant Medical Group 3514 21st St, Lubbock, TX 79410-1210
Joshua G Hill Family Medicine Covenant Medical Group 611 N Frankford Ave, Lubbock, TX 79416-1545
Prakash Shrestha Infectious Disease Covenant Medical Group 3801 21st St, Suite 200, Lubbock, TX 79410-1006
Stacy E Neudorf Physician Assistant Covenant Medical Group 2201 Oxford, Lubbock, TX 79410
Kia M Ousley Family Medicine Covenant Medical Group 1910 Quaker Ave, Suite 101, Lubbock, TX 79407-2447
Jana C Ashburn Nurse Practitioner Covenant Medical Group 3606 21st St, Suite 103, Lubbock, TX 79410-1226
Kate E Barnett Physical Therapy Covenant Medical Group 4404 19th St, Suite C, Lubbock, TX 79407-2424
Cristan D Ledbetter Nurse Practitioner Covenant Medical Group 4102 22nd Pl, Lubbock, TX 79410-1122

Office Location

Street Address 3615 19TH ST
City LUBBOCK
State TX
Zip 79410-1894

Physicians in the same location

Name Specialty Organization Address
Janine Valosky Internal Medicine Hospitalist Medicine Physicians of Texas Pllc 3615 19th St, Lubbock, TX 79410-1203
Md S Hossin Internal Medicine Hospitalist Medicine Physicians of Texas Pllc 3615 19th St, Lubbock, TX 79410-1203
Alexandra D Bates Nurse Practitioner Covenant Medical Group 3615 19th St, Lubbock, TX 79410-1894
Bharat Bhushan Hospitalist Hospitalist Medicine Physicians of Texas Pllc 3615 19th St, Lubbock, TX 79410-1203
Gilbert Carroll Brown Iii Anesthesiology Northstar Anesthesia Pa 3615 19th St, Lubbock, TX 79410-1203
Hannah L Coram Emergency Medicine Covenant Medical Group 3615 19th St, Lubbock, TX 79410-1894
Seshadri D Thirumala Pathology Ameripath Lubbock 501a Corporation 3615 19th St, Lubbock, TX 79410-1203
Omar Salh Hospitalist Hospitalist Medicine Physicians of Texas Pllc 3615 19th St, Lubbock, TX 79410-1203
Stan S Rice Emergency Medicine Covenant Medical Group 3615 19th St, Lubbock, TX 79410-1894
Michele A Dela Garza Nurse Practitioner Hospitalist Medicine Physicians of Texas Pllc 3615 19th St, Lubbock, TX 79410-1203
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Stacy E Neudorf Physician Assistant Covenant Medical Group 2201 Oxford, Lubbock, TX 79410
Allison P Vaughn Nurse Practitioner Covenant Medical Group 2102 Oxford A, Lubbock, TX 79410
Amelia Jay Nurse Practitioner Covenant Medical Group 2102 Oxford B, Lubbock, TX 79410
Clinton G Wolboldt Family Practice Covenant Medical Group 2102 Oxford A, Lubbock, TX 79410
Darla K Walker Nurse Practitioner Covenant Medical Group 2201 Oxford, Lubbock, TX 79410
Prakash Shrestha Infectious Disease Covenant Medical Group 3801 21st St, Suite 200, Lubbock, TX 79410-1006
Larry A Warmoth Nephrology 3801 21st St, Suite 200, Lubbock, TX 79410-1006
Melissa Mae Wotring-norman Hospitalist 3801 21st St, Suite 200, Lubbock, TX 79410-1006
Paul S Singh Obstetrics/gynecology Covenant Medical Group 3801 21st St, Suite 200, Lubbock, TX 79410-1006
Lakhu J Rohra Internal Medicine 3802 21st St, Suite C, Lubbock, TX 79410-1011
Find all physicians in zip 79410

Competitor

Search similar physicians

City LUBBOCK
Zip Code 79410
Specialty EMERGENCY MEDICINE
City + Specialty LUBBOCK + EMERGENCY MEDICINE

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Dataset Information

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.

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