E-Town Neurosurgery LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

E-TOWN NEUROSURGERY LLC

Practice address

1700 Ring Rd
Elizabethtown, KY 42701-9497

Phone

(270) 769-5551

Fax

(270) 765-3919

NPI assigned

May 9, 2007

Last updated

Jan 13, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thad R. JacksonNPI 1134177108

Title

Physician and Owner

Phone

(270) 769-5551

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thad Jackson, MD

  • Neurological Surgery Physician
  • Elizabethtown, KY
  • NPI 1134177108
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1093929184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019497",
            "telephone_number": "270-769-5551",
            "fax_number": "270-765-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019497",
            "telephone_number": "270-769-5551",
            "fax_number": "270-765-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E-TOWN NEUROSURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "THAD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN AND OWNER",
        "authorized_official_telephone_number": "270-769-5551"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc D Dyer, D.M.D.
• E Town Chiropractic PLLC
• E Town Eyecare PSC
• E Town Lung Specialist PSC
• E-Town Injury Center
• Cindy Eads
• Early Intervention Services, PSC
• Early Intervention, Inc.
• Valerie Michelle Early, PHARM.D.
• Ecuabella LLC

• Neurological Surgery Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Neurological Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.