Jackson Allergy & Asthma Clinic P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

C8504 Issued in AR

Legal business name

JACKSON ALLERGY & ASTHMA CLINIC P.A.

Practice address

151 Harmony Park Circle
Hot Springs, AR 71913-5417

Phone

(501) 623-1311

Fax

(501) 321-1214

NPI assigned

Jan 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Brian D Jackson, M.D.NPI 1467497461

Title

Physican

Phone

(501) 623-1311

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

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

• Brian D Jackson, MD

  • Allergy & Immunology Physician
  • Hot Springs, AR
  • NPI 1467497461
  Medicare reassignment Care Compare group NPD Authorized official
• Ruchit Rana, MD

  • Allergy & Immunology Physician
  • Hot Springs, AR
  • NPI 1669978243
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1326342452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 HARMONY PARK CIRCLE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719135417",
            "telephone_number": "501-623-1311",
            "fax_number": "501-321-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 HARMONY PARK CIRCLE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719135417",
            "telephone_number": "501-623-1311",
            "fax_number": "501-321-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON ALLERGY & ASTHMA CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2024-05-20",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "501-623-1311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "C8504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5J211",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187025002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J. Adam Hall Orthodontics, P.a.
• J. Michael Plyler, DDS, PA
• J. Steven Mathews, M.D., PA
• Jack a. Cates, M.D.P.a.
• Kimberly M Jackman, MD
• Amanda Jackson, CRNA
• Brian D Jackson, MD
• Ebony Jackson, QBHP
• Haynes G Jackson Jr., MD
• Kaliyah Jackson, BT

• Specialist in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.