Michael Jackson (NPI# 1144207556, PAC ID# 7012920408) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1144207556 |
| PAC ID by PECOS | 7012920408 |
| Professional Enrollment ID | I20060802000165 |
| Full Name | Michael Jackson |
| Organization Legal Name | CROCKETT CHIROPRACTIC PC |
| Address |
733 W Kearney St Springfield MO 65803-1229 |
| Phone Number | 4178317575 |
| Gender | M |
| Credential | DC |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2004 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 9537172911 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 733 W Kearney St, Springfield, MO 65803-1229 | 4178317575 | CROCKETT CHIROPRACTIC PC |
| Organization Legal Name | CROCKETT CHIROPRACTIC PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Crockett | Chiropractic | Crockett Chiropractic PC | 733 W Kearney St, Springfield, MO 65803-1229 |
| Street Address |
733 W KEARNEY ST |
| City | SPRINGFIELD |
| State | MO |
| Zip | 65803-1229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Crockett | Chiropractic | Crockett Chiropractic PC | 733 W Kearney St, Springfield, MO 65803-1229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia Lynn Hollis-keene | Nurse Practitioner | Regional Services | 2825 N Kansas Expressway, Clinic At Walmart Operated By Coxhealth Store 86, Springfield, MO 65803 |
| Robert D Crockett | Nurse Practitioner | Regional Services | 2825 N Kansas Expressway, Clinic At Walmart Operated By Coxhealth Store 86, Springfield, MO 65803 |
| Curtis L Jones Jr. | Clinical Social Worker | 1134 W Norton Rd, Golden Estate Residential Care Facility, Springfield, MO 65803-1070 | |
| John R Chappell | Nurse Practitioner | Mercy Clinic Springfield Communities | 2120 W Kearney St, Mc Occupational Medicine W Kearney, Springfield, MO 65803-1653 |
| Wendy L. Robinson | Nurse Practitioner | Mercy Clinic Springfield Communities | 2120 W Kearney St, Springfield, MO 65803-1653 |
| Jerry W Dorris | Nurse Practitioner | Mercy Clinic Springfield Communities | 2120 W Kearney St, Mc Occupational Medicine W Kearney, Springfield, MO 65803-1653 |
| Sarah Williams | Nurse Practitioner | Mercy Clinic Springfield Communities | 2120 W Kearney St, Springfield, MO 65803-1653 |
| Warren W Howard | Physician Assistant | Mercy Clinic Springfield Communities | 2120 W Kearney St, Springfield, MO 65803-1653 |
| Michael Bauer | Sports Medicine | Mercy Clinic Springfield Communities | 2120 W Kearney St, Mc Occupational Medicine W Kearney, Springfield, MO 65803-1653 |
| Barry L Rineer | Physician Assistant | Mercy Clinic Springfield Communities | 2120 W Kearney St, Springfield, MO 65803-1653 |
| Find all physicians in zip 65803 | |||
| City | SPRINGFIELD |
| Zip Code | 65803 |
| Specialty | CHIROPRACTIC |
| City + Specialty | SPRINGFIELD + CHIROPRACTIC |
Please comment or provide details below to improve the information on Michael 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.