Richard A Jackson (NPI# 1215994231, PAC ID# 7911895917) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1215994231 |
| PAC ID by PECOS | 7911895917 |
| Professional Enrollment ID | I20050401000408 |
| Full Name | Richard A Jackson |
| Organization Legal Name | CLINICAL COLLEAGUES INC |
| Address |
161 River Oaks Dr Canton MS 39046-5375 |
| Phone Number | 6018595688 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1988 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 8729011333 |
| Number of Group Practice Members | 116 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110150 | NAVICENT HEALTH BALDWIN |
| Address | Phone | Organization |
|---|---|---|
| 161 River Oaks Dr, Canton, MS 39046-5375 | 6018595688 | CLINICAL COLLEAGUES INC |
| 821 N Cobb St, Millegeville, GA 31061-0000 | 4784543505 | CLINICAL COLLEAGUES INC |
| Organization Legal Name | CLINICAL COLLEAGUES INC |
| Physicians | 109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodney D Mann | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 1900 N 14th St, Ponca City, OK 74601-2035 |
| Dana Alan Reynolds | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 1250 S Washington St, Van Wert County Hospital, Van Wert, OH 45891-2599 |
| Jonathan B Mitchell | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 70 Medical Ctr Dr, Commerce, GA 30529-1078 |
| Kathryn A Montagne | Anesthesiology | Clinical Colleagues Inc | 133 Fairfield St, Saint Albans, VT 05478-1726 |
| Perry Arthur Rathbun | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| David J Nowak | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 695 N Kellogg St, Galesburg, IL 61401-2807 |
| Danielle J Aguilar | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 2001 Stults Rd, Huntington, IN 46750-1291 |
| Jeremiah L Ashe | Anesthesiology | Clinical Colleagues Inc | 2001 Stults Rd, Huntington, IN 46750-1291 |
| James D Holden | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Babatunde Adeosun | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 2001 Stults Rd, Huntington, IN 46750-1291 |
| Street Address |
161 RIVER OAKS DR |
| City | CANTON |
| State | MS |
| Zip | 39046-5375 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne S Orr | General Surgery | State of Mississippi-university of Mississippi Medical Center | 161 River Oaks Dr, Canton, MS 39046-5375 |
| Justin B Daniels | Emergency Medicine | Capital Emergency Physicians Madison Pllc | 161 River Oaks Dr, Canton, MS 39046-5375 |
| Horace Russell | Internal Medicine | Mississippi Hma Hospitalists LLC | 161 River Oaks Dr, Canton, MS 39046-5375 |
| James Albert Hurt IIi | Orthopedic Surgery | State of Mississippi-university of Mississippi Medical Center | 161 River Oaks Dr, Canton, MS 39046-5375 |
| Nathan P Mcintosh | Emergency Medicine | Capital Emergency Physicians Madison Pllc | 161 River Oaks Dr, Canton, MS 39046-5375 |
| Julie W Reed | Nurse Practitioner | Capital Emergency Physicians Madison Pllc | 161 River Oaks Dr, Canton, MS 39046-5375 |
| Randall K Reid | Anesthesiology | State of Mississippi-university of Mississippi Medical Center | 161 River Oaks Dr, Canton, MS 39046-5375 |
| Patrick M Ferriss | Emergency Medicine | Capital Emergency Physicians Madison Pllc | 161 River Oaks Dr, Canton, MS 39046-5375 |
| Kurt Gregory Kratz | Pathology | Hub Care Pathology, P.a. | 161 River Oaks Dr, Canton, MS 39046-5375 |
| Marla Sutherland | Nurse Practitioner | App of Mississippi Ed LLC | 161 River Oaks Dr, Canton, MS 39046-5375 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rashad Smith | Physical Therapy | 3425 N Liberty St, Canton, MS 39046-3761 | |
| Marvin E Williams Ii | Occupational Therapy | Smart Therapy LLC | 3425 N Liberty St, Canton, MS 39046-3761 |
| James O Farrell Jr. | Physical Therapy | Visions Physical Therapy | 908 E Peace St, Canton, MS 39046-4024 |
| Marcus Harris | Physical Therapy | Visions Physical Therapy | 908 E Peace St, Canton, MS 39046-4024 |
| Mary A Johnson | Nurse Practitioner | 3276 S Liberty St, Canton, MS 39046-4516 | |
| Michael K Jones | Chiropractic | 134 E Peace St, Canton, MS 39046-4520 | |
| Reginald D Rigsby | Family Medicine | Psp Medical Clinic LLC | 1171 Hart St, Canton, MS 39046-4805 |
| Parvesh K Goel | Internal Medicine | Psp Medical Clinic LLC | 1171 Hart St, Canton, MS 39046-4805 |
| Phyllis Hammond | Clinical Social Worker | Psp Medical Clinic LLC | 1171 Hart St, Canton, MS 39046-4805 |
| David M Heumann | Physical Therapy | Peak Healthcare | 1421 E Peace St, Canton, MS 39046-4938 |
| Find all physicians in zip 39046 | |||
| City | CANTON |
| Zip Code | 39046 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | CANTON + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Richard A 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.