WILLIAM JACKSON (NPI# 1194731448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194731448 |
| Entity Type | Individual |
| Full Name | WILLIAM JACKSON |
| Credential | MD |
| Practice Address |
4200 E 9th Ave Denver CO 80262-0001 |
| Mailing Address |
13611 E Colfax Ave Aurora CO 80045-5701 |
| Practice Telephone | 3033155101 |
| Mailing Telephone | 3034937000 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
13716 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376901603 | William Jackson | Case Manager/Care Coordinator | 1001 W Broadway Ste B, Farmington, NM 87401-5638 | 2016-02-01 |
| 1104237338 | William Jackson | Surgery | 101 S Ravenel St Ste 230, Florence, SC 29506-2624 | 2014-05-09 |
| 1851646129 | William Jackson | Specialist | 5 Shorewood Ln, Centerport, NY 11721-1731 | 2012-07-23 |
| 1083904502 | William Materson Jackson | Registered Nurse | 1730 Brunswick Dr, Blacksburg, VA 24060-1988 | 2011-04-18 |
| 1912231721 | William Roland Jackson | Counselor | 2772 S. Mlk Blvd., Fresno, CA 93706-5345 | 2009-09-25 |
| 1427290667 | William E Jackson | Physician Assistant | 9261 E Northview Ct, Tucson, AZ 85749-9792 | 2009-04-02 |
| 1487846366 | William Bradley Jackson | Physical Therapy Assistant | 176 Division St, Great Barrington, MA 01230-1179 | 2007-08-14 |
| 1316144215 | William Lorenzo Jackson | Internal Medicine | 300 Rodgers Blvd, Terminal Box Unit-67, Honolulu, HI 96819-1890 | 2007-07-02 |
| 1366585226 | William Spencer Jackson | Counselor | 880 W 12th St, Reno, NV 89503-2601 | 2007-02-14 |
| 1417006594 | William Kenneth Jackson | Dentist | 11411 N Central Expy Ste K, Dallas, TX 75243-6606 | 2007-01-09 |
| Street Address |
4200 E 9TH AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80262-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477553014 | University of Colorado | Clinic/Center | 4200 E 9th Ave, Box C288-5, Denver, CO 80262-0001 | 2005-07-26 |
| 1770745325 | Adam Dave | Family Medicine | 4200 E 9th Ave, Denver, CO 80262-1000 | 2008-06-25 |
| 1912167560 | Univeristy of Colorado School of Medicine | General Acute Care Hospital | 4200 E 9th Ave, Denver, CO 80262-1000 | 2008-06-16 |
| 1750556478 | Danielle Marie Clancy | Pediatrics | 4200 E 9th Ave, Denver, CO 80262-0001 | 2008-04-23 |
| 1780857052 | Karen K Lo | Student in an Organized Health Care Education/Training Program | 4200 E 9th Ave, C/o University of Colorado, Dept of General Surgery, Denver, CO 80262-0001 | 2008-04-08 |
| 1619140167 | Matthew James Rustici | Pediatrics | 4200 E 9th Ave, Denver, CO 80262-0001 | 2008-04-04 |
| 1508062894 | James F Cromie | Surgery | 4200 E 9th Ave, Campus Box C302, Denver, CO 80262-0001 | 2007-06-22 |
| 1750592192 | University of Colorado School of Medicine | General Acute Care Hospital | 4200 E 9th Ave, B177, Denver, CO 80262-0001 | 2007-05-25 |
| 1558578351 | Kelli Gibson | Pharmacist | 4200 E 9th Ave, Denver, CO 80262-0001 | 2007-05-17 |
| 1770796468 | Pamela J Prag | Advanced Practice Midwife | 4200 E 9th Ave, University of Colorado Hospital, Denver, CO 80262 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306977368 | Holly Jean Jones | Pharmacist | 4200 East 9th Ave, Box A027 Pharmacy Department, Denver, CO 80262 | 2007-03-08 |
| 1982747523 | Stacey R Bromberg | Psychologist | 4200 E Ninth Avenue C-268-52 Cph Rm 2k01, Denver, CO 80262-0001 | 2007-02-14 |
| 1629118864 | Bradley Kevin Christianson | Pharmacist | 4200 E 9th Ninth Ave Box A027, Denver, CO 80262-0001 | 2007-02-07 |
| 1548316144 | Linh Khanh Lu | Dermatology | University of Colorado School of Medicine, 4200 E. 9th Ave., Denver, CO 80262-0001 | 2007-01-26 |
| 1962558544 | Kevin Wanebo | Radiology | University of Colorado At Denver and Health Sciences Ce, 4200 E. 9th Ave., Denver, CO 80262-0001 | 2007-01-26 |
| 1740330836 | Joseph P Vande Griend | Pharmacist | 4200 E 9th Ave Box C238, Denver, CO 80262-0001 | 2007-01-11 |
| 1174600415 | Jacquelyn Louise Bainbridge | Pharmacist | University of Colorado 4200 East Ninth Ave, School of Pharmacy Campus Box C238, Denver, CO 80262-0001 | 2006-11-01 |
| 1720178403 | Michael J Gerber | Internal Medicine | 4200 E Ninth Ave, Denver, CO 80262-0001 | 2006-10-13 |
| 1063509115 | Richard Fisher | Orthopaedic Surgery | 4701 E Ninth Ave, Denver, CO 80262-0001 | 2006-10-09 |
| 1407960867 | Michelle Angelique Barron | Internal Medicine | 4200 E Ninth Ave # B168, School of Medicine, Room 1621-a, Denver, CO 80262-0001 | 2006-08-19 |
| Find all providers in zip 80262 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848664 | Healthone Clinic Services Medical Specialties LLC | Pediatrics | 2055 N High St Ste 270, Denver, CO 80205-5503 | 2020-07-10 |
| 1811238157 | Pediatric Gi Consultants, P.C. | Pediatrics | 1601 E 19th Ave, Suite #3500, Denver, CO 80218-1216 | 2013-03-12 |
| 1548521511 | Amber N Hildreth | Pediatrics | 1601 E 19th Ave Ste 5050, Denver, CO 80218-1200 | 2012-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609216183 | Timothy A Hadley | Pediatrics | 9224 Teddy Ln Ste 200, Lone Tree, CO 80124-6799 | 2013-06-28 |
| 1871701441 | Edwin F. Dezoeten | Pediatrics | 13123 East 16th Avenue, The Children's Hospital, Aurora, CO 80045-7106 | 2007-05-18 |
| 1942421102 | Seth Steven Septer | Pediatrics | 4125 Briargate Parkway, Suite 100, Colorado Springs, CO 80920 | 2007-05-02 |
| 1275629990 | Aziz John Yazdi | Pediatrics | 2925 Professional Pl Ste 103, Colorado Springs, CO 80904-8125 | 2006-10-04 |
| 1255431334 | Ronald Dean Holmes | Pediatrics | 9224 Teddy Ln, #200, Lone Tree, CO 80124-6798 | 2006-09-25 |
| 1144265315 | Theodore Harry Stathos | Pediatrics | 9224 Teddy Lane, Suite 200, Lone Tree, CO 80124-6799 | 2006-06-19 |
| 1275570053 | Thomas R Walker | Pediatrics | 13123 E 16th Ave # B290, Aurora, CO 80045-7106 | 2006-06-01 |
| 1588290647 | Healthone Clinic Services Medical Specialties LLC | Pediatrics | 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 | 2020-03-20 |
| 1518387448 | Dania Brigham | Pediatrics | 13001 E 17th Pl, Aurora, CO 80045 | 2014-04-18 |
| 1801215298 | Kent David Rosenwald | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045 | 2014-04-14 |
| Find all providers with the same taxonomy | ||||
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| 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.