Marquis L Jackson, BS,DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC05354 Issued in OH

Practice address

158 Rogers Pkwy
Chillicothe, OH 45601-1738

Phone

(740) 804-1779

NPI assigned

Apr 22, 2024

Last updated

Apr 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Breakthrough Medical Plus LLCGroup PAC ID 7012279763, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Breakthrough Medical Plus LLC

  • General Practice Physician
  • Pickerington, OH
  • NPI 1316466899
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1760237879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 ROGERS PKWY",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011738",
            "telephone_number": "740-804-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 ROGERS PKWY",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011738",
            "telephone_number": "740-804-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MARQUIS",
        "middle_name": "L",
        "credential": "BS,DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC05354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Morton LLC (Home Helpers Locataion 57586)
• Taylor Jacklin
• Ellen Jackman, CDCA
• Adam Russell Jackson, PHARMD
• Kevin Jackson
• Paul Edward Jackson, MD
• Elizabeth Ann Jacobs, PHARMD
• Tamara Nicole Jacobs
• Leah Jadwin
• James M. Schaefer, O.D.

• Chiropractor in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.