MAX JACKSON (NPI# 1255374716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255374716 |
Entity Type | Individual |
Full Name | MAX JACKSON |
Credential | MD |
Practice Address |
850 Mill St Suite 100 Reno NV 89502-1413 |
Mailing Address |
780 Kuenzli St Suite 202 Reno NV 89502-1011 |
Practice Telephone | 7759825000 |
Practice Fax Number | 7759825417 |
Mailing Telephone | 7759824590 |
Mailing Fax Number | 7759824595 |
Enumeration Date | 2006-06-13 |
Last Update Date | 2007-09-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | R3H65 | MO | Allopathic & Osteopathic Physicians |
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
12030 | NV | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891354742 | Max Anthony Jackson | Surgery | 800 Meadows Rd, Boca Raton, FL 33486-2304 | 2019-06-12 |
Street Address |
850 MILL ST SUITE 100 |
City | RENO |
State | NV |
Zip Code | 89502-1413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518956549 | Ross Elwood Waltz | Physical Therapist | 850 Mill St, #300, Reno, NV 89502-1413 | 2005-10-21 |
1114526423 | Kadi Camp | Clinic/Center | 850 Mill St, Reno, NV 89502-1413 | 2020-10-19 |
1538792288 | Cassandra Nicole Monroe | Behavioral Analyst | 850 Mill St, Reno, NV 89502-1413 | 2020-02-20 |
1164907424 | Dante Araya Martell | Psychologist | 850 Mill St, Reno, NV 89502-1413 | 2018-10-02 |
1639652985 | Susan Jean Bryant | Community/Behavioral Health | 850 Mill St, Reno, NV 89502-1413 | 2018-09-12 |
1356821102 | Anita Rory Cowley | Case Manager/Care Coordinator | 850 Mill St, Reno, NV 89502-1413 | 2018-08-20 |
1962982439 | Lisa Marie Maxey | Case Manager/Care Coordinator | 850 Mill St, Reno, NV 89502-1413 | 2018-08-15 |
1689164956 | Cassandra Lachelle Wood | Counselor | 850 Mill St, Reno, NV 89502 | 2018-05-13 |
1558865675 | Austin Z Porsborg | Case Manager/Care Coordinator | 850 Mill St, Reno, NV 89502-1413 | 2018-03-22 |
1902309750 | Victoria Lynn Floyd-sandoval | Case Manager/Care Coordinator | 850 Mill St, Reno, NV 89502-1413 | 2018-03-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
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Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477868586 | Ca Medical Associates, LLC | Family Medicine | 5650 Riggins Ct, Suite 201, Reno, NV 89502-6699 | 2010-08-12 |
1396309407 | Homebase Care Faylona Pllc | Family Medicine | 850 Mill St Ste 100, Reno, NV 89502-1463 | 2019-04-24 |
1093299547 | Sharon P Brown | Family Medicine | 5250 Neil Rd Ste 207, Reno, NV 89502-6556 | 2018-09-20 |
1538191291 | Brendan Howden Smith | Family Medicine | 1000 Locust St, Reno, NV 89502-2597 | 2006-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033537402 | Lubna Javed Md Pllc | Family Medicine | 10170 W Tropicana Ave # 156-336, Las Vegas, NV 89147-8465 | 2014-04-02 |
1942472303 | C M Peterson LLC | Family Medicine | 1328 Fox Acres Dr, Las Vegas, NV 89134-0511 | 2008-03-26 |
1467514729 | Iyad Houshan, M.d. Professional Corporation | Family Medicine | 1820 E Warm Springs Rd., Suite 145, Las Vegas, NV 89119 | 2006-12-14 |
1235170820 | Alvin B Lin | Family Medicine | 5564 S Fort Apache Rd Ste 120, Las Vegas, NV 89148-3601 | 2006-06-08 |
1063482180 | Roopa Dani | Family Medicine | 9280 W Sunset Rd Ste 200, Las Vegas, NV 89148-4861 | 2006-01-23 |
1598762353 | Peter A Tran Iv | Family Medicine | 1776 W Horizon Ridge Pkwy, Suite 120, Henderson, NV 89012-5018 | 2005-07-07 |
1518422583 | Homebase Healthcare LLC | Family Medicine | 3312 W Charleston Blvd, Las Vegas, NV 89102-1829 | 2019-02-04 |
1235638800 | Pahrump Physical Medicine LLC | Family Medicine | 1320 E Calvada Blvd, Pahrump, NV 89048-5692 | 2018-02-08 |
1063810935 | Michael H. Nguyen | Family Medicine | 1000 S Rainbow Blvd Ste A, Las Vegas, NV 89145 | 2014-12-09 |
1215228838 | Hope Medical LLC | Family Medicine | 1260 Blackhorn St, Pahrump, NV 89048-8112 | 2011-04-30 |
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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.