Michael R Jackson (NPI# 1053467902, PAC ID# 8224195714) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1053467902 |
| PAC ID by PECOS | 8224195714 |
| Professional Enrollment ID | I20090327000351 |
| Full Name | Michael R Jackson |
| Organization Legal Name | SPARKS CLINIC PA |
| Address |
103 N 1st St Rockwall TX 75087-3033 |
| Phone Number | 9727715366 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9133292048 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450742 | BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE |
| Address | Phone | Organization |
|---|---|---|
| 103 N 1st St, Rockwall, TX 75087-3033 | 9727715366 | SPARKS CLINIC PA |
| Organization Legal Name | SPARKS CLINIC PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Sparks | Family Medicine | Sparks Clinic Pa | 103 N 1st St, Rockwall, TX 75087-3033 |
| Street Address |
103 N 1ST ST |
| City | ROCKWALL |
| State | TX |
| Zip | 75087-3033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Sparks | Family Medicine | Sparks Clinic Pa | 103 N 1st St, Rockwall, TX 75087-3033 |
| Matthew S Peterson | Chiropractic | 103 N 1st St, Elma, WA 98541 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenni K. Underhill | Anesthesiology | Metropolitan Anesthesia Consultants, LLP | 825 W Yellow Jacket Lane, Rockwall, TX 75087 |
| Jay T Humphrey | Chiropractic | 433 E Interstate 30, Rockwall, TX 75087 | |
| Brittney Marie Downing | Physical Therapy | Ideal Physical Therapy of Texas LLC | 2268 N Lakeshore Dr, Suite 106, Rockwall, TX 75087-0280 |
| Ryan M Litton | Physical Therapy | Ideal Physical Therapy of Texas LLC | 2268 N Lakeshore Dr, Suite 106, Rockwall, TX 75087-0280 |
| Cecilia Wong | Physical Therapy | Ideal Physical Therapy of Texas LLC | 2268 N Lakeshore Dr, Suite 106, Rockwall, TX 75087-0280 |
| Silvia P Galvez-uribe | Physical Therapy | Ideal Physical Therapy of Texas LLC | 2268 N Lakeshore Dr, Suite 106, Rockwall, TX 75087-0280 |
| Joseph C Migliaccio | Chiropractic | 105 N Goliad St, Performance Chiropractic and Wellness, Rockwall, TX 75087-2539 | |
| John Clark Weddle | Chiropractic | 105 N Goliad, Rockwall, TX 75087-2539 | |
| Steven H Thompson | Internal Medicine | 2504 Ridge Rd, Suite 205, Rockwall, TX 75087-2571 | |
| Eitan Podgaetz Gliksberg | Thoracic Surgery | Healthtexas Provider Network | 2504 Ridge Rd, Suite 202, Rockwall, TX 75087-2571 |
| Find all physicians in zip 75087 | |||
| City | ROCKWALL |
| Zip Code | 75087 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ROCKWALL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael R 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.