Horace J Jackson MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

HORACE J JACKSON MD PC

Practice address

505 W Leigh Street
Suite 207
Richmond, VA 23220

Phone

(804) 788-0556

Fax

(804) 788-1141

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Horace J Jackson, MDNPI 1669407003

Title

President Owner

Phone

(804) 788-0556

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Horace J Jackson MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Horace J Jackson MD PC

  • Gastroenterology Physician
  • Warsaw, VA
  • NPI 1144466368
  NPD tax ID

Locations

Practitioners 1

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

• Horace J Jackson, MD

  • Gastroenterology Physician
  • Richmond, VA
  • NPI 1669407003
  NPD (past) Authorized official

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1851324958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W LEIGH STREET",
            "address_2": "SUITE 207",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23220",
            "telephone_number": "804-788-0556",
            "fax_number": "804-788-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W LEIGH STREET",
            "address_2": "SUITE 207",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23220",
            "telephone_number": "804-788-0556",
            "fax_number": "804-788-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORACE J JACKSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "HORACE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "804-788-0556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006O49656",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BS",
            "identifier": "006954",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Symone Monique Hopkins
• Candace A Hopper, LPC
• Haleigh Marie Hopper, MD
• Katherine Rose Hopper, CRNA
• Virginia Grace Hopper
• Katrina A Horan, DPT
• Tara Lynch Horan, FNP-C
• Martin Horenstein, MD
• Teresa Ann Horgan
• Horizon Medical LLC

• Gastroenterology Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Gastroenterology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.