DR. LEWIS JACKSON JR. M.D.
NPI 1710040480
Family Medicine - Geriatric Medicine in Miami, FL

NPI Status: Active since December 18, 2006

Contact Information

1611 NW 12TH AVE
MIAMI, FL
ZIP 33136
Phone: (305) 575-3388

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  • Individual
  • Male
  • Family Medicine
  • Geriatric Medicine

About LEWIS JACKSON

This page provides the complete NPI Profile along with additional information for Lewis Jackson, a primary care provider established in Miami, Florida with a medical specialization in Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1710040480 assigned on December 2006. The practitioner's primary taxonomy code is 207QG0300X with license number ME94517 (FL). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1710040480
Provider Name
DR. LEWIS JACKSON JR. M.D.
Gender
Male
Entity Type
Individual
Location Address
1611 NW 12TH AVE MIAMI, FL 33136
Location Phone
(305) 575-3388
Mailing Address
7125 BAY DR APT202 MIAMI BEACH, FL 33141
Mailing Phone
(305) 867-2676
Is Sole Proprietor?
Yes
Enumeration Date
12-18-2006
Last Update Date
07-08-2007
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A primary care provider (PCP) like Lewis Jackson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Geriatric Medicine

Taxonomy Code
207QG0300X
Type
Allopathic & Osteopathic Physicians
License No.
ME94517
License State
FL
Taxonomy Description
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710040480
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720040416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 0 + 4 + 0 + 4 + 1 + 6 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1710040480 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

KAREN CHITTY MD

Emergency Medicine

1611 NW 12TH AVE
MIAMI, FL
ZIP 33136

(305) 585-6913

MS. DEBRA JEANNE DIAZ CRNA

Nurse Anesthetist, Certified Registered

1611 NW 12TH AVE
MIAMI, FL
ZIP 33136

(305) 585-8684

VALERIE DIAZ CRNA

Nurse Anesthetist, Certified Registered

1611 NW 12TH AVE
MIAMI, FL
ZIP 33136

(305) 585-6586

DR. SCOTT KOHL DO

Emergency Medicine

1611 NW 12TH AVE
MIAMI, FL
ZIP 33136

(954) 709-0966

MISS NATASHA ELISE ROBINSON PHARM.D.

Pharmacist

(Pharmacotherapy)

1611 NW 12TH AVE
MIAMI, FL
ZIP 33136

(305) 585-7096

DR. JAY B.B. BLAKE PHARM.D.

Pharmacist

(Pharmacotherapy)

1611 NW 12TH AVE
MIAMI, FL
ZIP 33136

(305) 585-7195

DR. CAMERON DEZFULIAN MD

Pediatrics

(Pediatric Critical Care Medicine)

1611 NW 12TH AVE
MIAMI, FL
ZIP 33136

(305) 585-1111

DR. GINA ELIZABETH WHITE PHARM.D.

Pharmacist

(Pharmacotherapy)

1611 NW 12TH AVE
PHARMACY DEPARTMENT
MIAMI, FL
ZIP 33136

(305) 585-8906

DR. AYANNA D PHILLIPS PHARM.D.

Pharmacist

(Pharmacotherapy)

1611 NW 12TH AVE
JACKSON MEMORIAL HOSPITAL PHARMACY DEPARTMENT
MIAMI, FL
ZIP 33136

(305) 585-7308

MR. ABDUL MAJID MEMON MD

Emergency Medicine

1611 NW 12TH AVE
ECC ET 1195
MIAMI, FL
ZIP 33136

(305) 585-6913

ANDREW ERIC ROSENBERG MD

Pathology

(Anatomic Pathology)

1611 NW 12TH AVE
MIAMI, FL
ZIP 33136

(305) 585-6303

DR. JOHN EDWARD SULLIVAN M.D.

Emergency Medicine

1611 NW 12TH AVE
JACKSON MEMORIAL HOSPITAL
MIAMI, FL
ZIP 33136

(305) 585-7872

LOAY SALMAN MD

Internal Medicine

(Nephrology)

1611 NW 12TH AVE
BOX 016960 M851
MIAMI, FL
ZIP 33136

(305) 585-1111

MS. CHIFFON ROCHELLE HOLIDAY ARNP

Nurse Practitioner

(Family)

1611 NW 12TH AVE
MIAMI, FL
ZIP 33136

(954) 885-0443

MRS. MARIA SOCORRO TORRES-BURGOS ARNP

Nurse Practitioner

1611 NW 12TH AVE
MIAMI, FL
ZIP 33136

(305) 585-8946

ANGELA ROSE BURRAFATO M.D.

Internal Medicine

1611 NW 12TH AVE
MIAMI, FL
ZIP 33136

(305) 585-6524

MR. DOUGLAS EUGENE HOUGHTON JR. ARNP

Nurse Practitioner

(Critical Care Medicine)

1611 NW 12TH AVE
JACKSON HEALTH SYSTEM
MIAMI, FL
ZIP 33136

(305) 585-1168

MRS. RHONDA JANE SMITH RN, MSN, ARNP

Nurse Practitioner

(Adult Health)

1611 NW 12TH AVE
MIAMI, FL
ZIP 33136

(305) 585-6538

DR. WILLIAM W CULBERTSON MD

Ophthalmology

1611 NW 12TH AVE
M851
MIAMI, FL
ZIP 33136

(305) 243-7688

MONICA A. LUFT CRNA

Nurse Anesthetist, Certified Registered

1611 NW 12TH AVE
SOUTH WING RM 300
MIAMI, FL
ZIP 33136

(305) 585-8684

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710040480, enumerated as an "individual" on December 18, 2006.

The provider is located at 1611 NW 12TH AVE MIAMI, FL 33136 and the phone number is (305) 575-3388.

Family Medicine with taxonomy code 207QG0300X and a focus in Geriatric Medicine.