Jackson Urgent Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

2264 Issued in WV

Legal business name

JACKSON URGENT CARE

Practice address

731 E Main St
Jackson, OH 45640-2100

Phone

(740) 418-1200

NPI assigned

Oct 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Natalie R. King, D.O

Title

Physician

Phone

(740) 418-1200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• David P. Peasak II, MSN, NP

  • Nurse Practitioner
  • Morgantown, WV
  • NPI 1316987001
  NPD (past)

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1598040628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 E MAIN ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456402100",
            "telephone_number": "740-418-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 E MAIN ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456402100",
            "telephone_number": "740-418-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "740-418-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "WV",
            "license": "2264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Dialysis and Kidney Center
• Jackson Family Practice LLC
• Jackson Foot and Ankle Clinic
• Jackson Health Partners LLC
• Jackson Healthcare LLC
• Charlotte Ann Jackson
• Randy Jackson, CRNA
• Ahmad M. Jadaan, MD
• Taylor Jarvis
• Erick Jayjohn, DDS

• Urgent Care Clinic/Center in Jackson, OH
• Providers in Jackson, OH by specialty
• Urgent Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.