CHRISTANN L JACKSON (NPI# 1154339810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154339810 |
| Entity Type | Individual |
| Full Name | CHRISTANN L JACKSON |
| Credential | MD |
| Practice Address |
4815 Liberty Avenue Suite Gr59 Pittsburgh PA 15224-2156 |
| Practice Telephone | 4125783951 |
| Practice Fax Number | 4125781587 |
| Mailing Telephone | 4125783951 |
| Mailing Fax Number | 4125781587 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2018-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
MD025329E | PA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | MD025329E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001159026 | 05 |
| Street Address |
4815 LIBERTY AVENUE SUITE GR59 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15224-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710984000 | Amy I Whitsel | Obstetrics & Gynecology | 4815 Liberty Avenue, Suite Gr59, Pittsburgh, PA 15224-2156 | 2005-07-01 |
| 1609287580 | Ellen M Hancox | Obstetrics & Gynecology | 4815 Liberty Avenue, Suite Gr25, Pittsburgh, PA 15224 | 2014-05-14 |
| 1467743906 | Jordan C Knight | Obstetrics & Gynecology | 4815 Liberty Avenue, Suite Gr59, Pittsburgh, PA 15224 | 2011-05-02 |
| 1699783456 | Mark E Caine | Obstetrics & Gynecology | 4815 Liberty Avenue, Suire Gr59, Pittsburgh, PA 15224-2156 | 2006-08-04 |
| 1558398040 | Paul J Weinbaum | Obstetrics & Gynecology | 4815 Liberty Avenue, Suite Gr59, Pittsburgh, PA 15224-2156 | 2006-06-28 |
| 1598719767 | Marta C Kolthoff | Medical Genetics | 4815 Liberty Avenue, Suite Gr59, Pittsburgh, PA 15224-2156 | 2006-05-20 |
| 1932171543 | Ashi R Daftary | Obstetrics & Gynecology | 4815 Liberty Avenue, Suite Gr59, Pittsburgh, PA 15224-2156 | 2006-02-07 |
| 1750383469 | Ronald L Thomas | Obstetrics & Gynecology | 4815 Liberty Avenue, Suite Gr59, Pittsburgh, PA 15224-2156 | 2005-08-12 |
| 1730180803 | Monica L Paterra | Physician Assistant | 4815 Liberty Avenue, Suite G25, Pittsburgh, PA 15224 | 2005-08-10 |
| 1588664155 | Jennifer U Celebrezze | Obstetrics & Gynecology | 4815 Liberty Avenue, Suite Gr59, Pittsburgh, PA 15224-2156 | 2005-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618289 | Jessica Reyes Angel | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Children's Hospital of Pittsburgh, Pittsburgh, PA 15224 | 2018-11-21 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| 1649750951 | Mario Castro Medina | Transplant Surgery | Upmc Childrens Hospital of Pittsburgh, 4401 Penn Avenue Faculty Pavillion 5th Floor, Pittsburgh, PA 15224 | 2018-08-16 |
| 1245745785 | Ericka Blake Lias | Pediatrics | Children's Hospital of Pittsburgh of Upmc, 4401 Penn Ave, Pittsburgh, PA 15224 | 2017-12-06 |
| 1316463904 | Olivia Graham | Speech-Language Pathologist | 4414 Woolslayer Way, Pittsburgh, PA 15224 | 2017-08-16 |
| 1821525437 | Megan Eileen Gunsaulus | Pediatrics | Upmc Pittsburgh One Childrens Hospital Drive, 4401 Penn Avenue 5th Floor Faculty Pavillion, Pittsburgh, PA 15224 | 2017-05-12 |
| 1336593771 | Matthew Shao-lin Wong | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Suite 3300, Pittsburgh, PA 15224 | 2016-04-22 |
| 1295110427 | Chananya Karunasumetta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4101 Penn Avenue, 5th Fl. Faculty Pavilion, Pittsburgh, PA 15224 | 2015-07-29 |
| 1518348705 | Montserrat Antonieta Corbera-hincapie | Pediatrics | Rangos Research Center, 4401 Penn Avenue, 7th Floor Children's Hospital of Pitt, Pittsburgh, PA 15224 | 2015-06-12 |
| 1497136782 | Christopher Thomas Stem | Pediatrics | Division of Pediatric Emergency Medicine, Children's Ho, 4401 Penn Avenue, Aob 2nd Floor Suite 2400, Pittsburgh, PA 15224 | 2015-06-12 |
| Find all providers in zip 15224 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043468846 | John Francis Turocy | Medical Genetics | 300 Halket St Ste 1651, Magee Womens Hospital, Department of Medical Genetics, Pittsburgh, PA 15213-3108 | 2008-09-04 |
| 1336218973 | Devereux N. Saller | Medical Genetics | 300 Halket St Ste 610, Pittsburgh, PA 15213-3108 | 2006-11-07 |
| 1730563883 | Evgenia Sklirou | Medical Genetics | 4401 Penn Avenue, Children's Hospital of Upmc, Pittsburgh, PA 15244 | 2015-07-17 |
| 1811277130 | Damara Ortiz | Medical Genetics | 4401 Penn Ave, Faculty Pavilion, Pittsburgh, PA 15224-1334 | 2011-08-17 |
| 1760787790 | Audrey C. Woerner | Medical Genetics | 1 Childrens Hospital Dr, 4401 Penn Avenue, Pittsburgh, PA 15224-1529 | 2011-01-23 |
| 1487959839 | Lysosomal Storage Disease Clinical Care Network LLC | Medical Genetics | 21 Wilson Dr, Pittsburgh, PA 15202-1321 | 2011-01-17 |
| 1871671198 | Uta Lichter-konecki | Medical Genetics | 1 Childrens Hospital Dr, 4401 Penn Avenue, Pittsburgh, PA 15224-1529 | 2006-11-02 |
| 1588744908 | Aleksandar Rajkovic | Medical Genetics | 300 Halket Street, Suite 2222 Department of Obstetrics,gynecology & Repro, Pittsburgh, PA 15213-3180 | 2006-10-17 |
| 1598719767 | Marta C Kolthoff | Medical Genetics | 4815 Liberty Avenue, Suite Gr59, Pittsburgh, PA 15224-2156 | 2006-05-20 |
| 1366424525 | Suneeta Madan-khetarpal | Medical Genetics | 1 Childrens Hospital Dr, Suite 1200 Faculty Pavillion, Pittsburgh, PA 15224-1529 | 2005-11-15 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15224 |
Please comment or provide details below to improve the information on CHRISTANN L JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.