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JACKSON HEALTHCARE LLC
NPI 1417347055
Physical Medicine & Rehabilitation - Pain Medicine in Avondaale, AZ

Active since February 04, 2015
12409 W INDIAN SCHOOL RD, SUITE #B210, AVONDAALE, AZ 85392(623) 935-9920 Get Directions Write a Review

NPPES record last updated: February 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackson Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON HEALTHCARE LLC (NPI 1417347055) is a healthcare organization registered as a pain medicine in Avondaale, Arizona and active in the NPI registry since February 2015. The organization lists Thomas Morgan, Owner, as its authorized official.

NPPES Registry Identity

NPI1417347055
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameJACKSON HEALTHCARE LLC
Location Address12409 W INDIAN SCHOOL RD, SUITE #B210Avondaale, AZ 85392
Mailing AddressPo Box 11180Tempe, AZ 85392 · (480) 264-3744
Phone(623) 935-9920
Organization SubpartNo
Authorized OfficialThomas MorganOwner · (623) 935-9920
Enumeration DateFebruary 4, 2015
✔ NPI 1417347055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X
12409 W INDIAN SCHOOL RD, Avondaale, AZ 85392
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN DIANE SARGENT M.S.
Speech-Language Pathologist
12409 W INDIAN SCHOOL RD, STE C-306
AVONDALE, AZ 85392
Maricopa County (315) 935-6040
DR. MATTHEW S KEENE M.D.
Psychiatry & Neurology (Psychiatry)
12409 W INDIAN SCHOOL RD, C-306
AVONDALE, AZ 85392
Maricopa County (623) 777-9970
JACKSON HEALTHCARE
Pain Medicine (Interventional Pain Medicine)
12409 W INDIAN SCHOOL RD, 210
AVONDALE, AZ 85392
Maricopa County (602) 308-7802
THOMAS HEALTHCARE
Pain Medicine (Interventional Pain Medicine)
12409 W INDIAN SCHOOL RD, 210
AVONDALE, AZ 85392
Maricopa County (623) 935-9920
MELANIE LEE BOLTZE
Registered Nurse (General Practice)
12409 W INDIAN SCHOOL RD
AVONDALE, AZ 85392
Maricopa County (623) 935-9920
EMILY KAY JOHNSTON PA
Physician Assistant
12409 W INDIAN SCHOOL RD, BUILDING E
AVONDALE, AZ 85392
Maricopa County (623) 536-5353
JEFFRY MICHAEL POLLOCK SLPA
Specialist/Technologist (Speech-Language Assistant)
12409 W INDIAN SCHOOL RD, C306
AVONDALE, AZ 85392
Maricopa County (623) 935-6040
DR. THOMAS MORGAN D.C
Chiropractor
12409 W INDIAN SCHOOL RD, #B-210
AVONDALE, AZ 85392
Maricopa County (602) 889-5833

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Healthcare LLC's NPI number?

The NPI number for Jackson Healthcare LLC is 1417347055. It was assigned to this organization in the NPPES registry on February 4, 2015.

Where is Jackson Healthcare LLC located?

Jackson Healthcare LLC is located at 12409 W Indian School Rd Suite #b210, Avondaale, AZ 85392. The listed phone number is (623) 935-9920.

What is Jackson Healthcare LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Jackson Healthcare LLC was last updated on February 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.