Jackson Hospital and Clinic, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JACKSON HOSPITAL AND CLINIC, INC

Practice address

1801 Pine St
Suite 204
Montgomery, AL 36106-0165

Phone

(334) 263-4277

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Peter Verrecchia

Title

Chief Financial Officer

Phone

(334) 293-8000

Specialties & licenses 1

Addresses

Other names 1

• DONALD A. MARSHALL, MD Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Tax ID family

Egidio G Delfabbro71 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Jackson Hospital & Clinic, Inc.

  • Urology Physician
  • Tallassee, AL
  • NPI 1013433820
  NPD tax ID
• Jackson Hospital & Clinic, Inc.

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1043262488
  NPD tax ID
• Jackson Hospital & Clinic, Inc.

  • Home Infusion Therapy Pharmacy
  • Montgomery, AL
  • NPI 1144005216
  NPD tax ID
• Jackson Hospital & Clinic, Inc.

  • Surgery Physician
  • Montgomery, AL
  • NPI 1215464300
  NPD tax ID
• Jackson Hospital & Clinic, Inc.

  • Obstetrics & Gynecology Physician
  • Tallassee, AL
  • NPI 1235667544
  NPD tax ID
• Jackson Hospital and Clinic Inc

  • Surgery Physician
  • Montgomery, AL
  • NPI 1154669752
  NPD tax ID
• Jackson Hospital and Clinic Inc

  • Urology Physician
  • Montgomery, AL
  • NPI 1164803367
  NPD tax ID
• Jackson Hospital and Clinic Inc.

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1023317666
  NPD tax ID
• Jackson Hospital and Clinic Inc.

  • Urology Physician
  • Wetumpka, AL
  • NPI 1053844654
  NPD tax ID
• Jackson Hospital and Clinic Inc.

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1154646966
  NPD tax ID
• Jackson Hospital and Clinic Inc.

  • Surgery Physician
  • Montgomery, AL
  • NPI 1194256438
  NPD tax ID
• Jackson Hospital and Clinic Inc.

  • Cardiovascular Disease Physician
  • Montgomery, AL
  • NPI 1194261669
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Howard L Brazil, MD

  • Interventional Cardiology Physician
  • Fairhope, AL
  • NPI 1699765271
  NPD
• Gaeton Don Lorino, M.D.

  • Pulmonary Disease Physician
  • Opelika, AL
  • NPI 1871553677
  NPD

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1104981380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 PINE ST",
            "address_2": "STE 503",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061103",
            "telephone_number": "334-270-9914",
            "fax_number": "334-270-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 PINE ST",
            "address_2": "SUITE 204",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361060165",
            "telephone_number": "334-263-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON HOSPITAL AND CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "VERRECCHIA",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "334-293-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DONALD A. MARSHALL, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jackson Hospital and Clinic Inc.
• Jackson Hospital and Clinic Inc.
• Jackson Hospital and Clinic Inc.
• Jackson Hospital and Clinic Inc.
• Jackson Hospital and Clinic, Inc
• Jackson Hospital and Clinic, Inc
• Jackson Hospital and Clinic, Inc
• Jackson Hospital and Clinic, Inc
• Jackson Hospital and Clinic, Inc
• Jackson Hospital and Clinic, Inc

• Family Medicine Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.