TANYA S JACKSON (NPI# 1255445383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255445383 |
| Entity Type | Individual |
| Full Name | TANYA S JACKSON |
| Credential | MD |
| Practice Address |
9500 S 1300 E Sandy UT 84094-3763 |
| Practice Telephone | 8015012100 |
| Mailing Telephone | 8015012100 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 518917351205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639527112 | Tanya L Jackson | Technician, Other | 1220 Pearl St, Benton Harbor, MI 49022-5539 | 2016-05-25 |
| 1356431555 | Tanya Jackson | Durable Medical Equipment & Medical Supplies | 7521 Westbank Expy Ste B, Marrero, LA 70072-2300 | 2006-10-16 |
| 1912504101 | Tanya Jackson | Occupational Therapy Assistant | 2936 Georgia Ave, Salina, KS 67401-7948 | 2020-10-01 |
| 1750839155 | Tanya Talita Jackson | Behavior Technician | 4201 N I 10 Service Rd W, Metairie, LA 70006-6713 | 2016-09-14 |
| 1699810788 | Tanya Diane Jackson | Registered Nurse | 1911 Port Ln, Amarillo, TX 79106-2470 | 2007-02-20 |
| 1679512784 | Tanya Kaye Jackson | Physical Therapist | 12800 S Memorial Dr Ste D, Bixby, OK 74008-2577 | 2006-06-05 |
| Street Address |
9500 S 1300 E |
| City | SANDY |
| State | UT |
| Zip Code | 84094-3763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861406464 | Rick E. Williams | Pharmacist | 9500 S 1300 E, Sandy, UT 84094-3763 | 2006-07-28 |
| 1932629946 | Kacie Doyle-delgado | Registered Nurse | 9500 S 1300 E, Sandy, UT 84094-3763 | 2017-06-21 |
| 1912348731 | Sean Christopher Turner | Physical Therapist | 9500 S 1300 E, Sandy, UT 84094-3763 | 2013-07-09 |
| 1366722746 | Richard B Cannon | Internal Medicine | 9500 S 1300 E, Sandy, UT 84094-3763 | 2011-08-17 |
| 1003114836 | Krista L Crown | Physical Therapy Assistant | 9500 S 1300 E, Sandy, UT 84094-3763 | 2011-03-02 |
| 1174737548 | Matthew Jason Hancey | Plastic Surgery | 9500 S 1300 E, Sandy, UT 84094-3763 | 2007-05-09 |
| 1164558847 | Ihc Health Services Inc | Optometrist | 9500 S 1300 E, Sandy, UT 84094-3763 | 2007-02-26 |
| 1851402747 | Michael G Turner | Optometrist | 9500 S 1300 E, Sandy, UT 84094-3763 | 2006-08-31 |
| 1811008790 | Jeffrey C Schmidt | Pediatrics | 9500 S 1300 E, Sandy, UT 84094-3763 | 2006-08-31 |
| 1699886580 | Jane E Sturtevant | Nurse Practitioner | 9500 S 1300 E, Sandy, UT 84094-3763 | 2006-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754508 | Hollie J Wharton | Advanced Practice Midwife | 9450 S. 1300 E., Sandy, UT 84094 | 2018-09-18 |
| 1417306804 | Sarah Scheibe | Counselor | 1123 E Tulane Cir, Sandy, UT 84094 | 2016-06-07 |
| 1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
| 1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
| 1104259464 | Ryan Blick | Marriage & Family Therapist | 833 East 9400 South, Sandy, UT 84094 | 2013-08-09 |
| 1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
| 1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
| 1306149679 | Premier Home Health, LLC | Home Health | 978 Larkspur Dr, Sandy, UT 84094 | 2010-12-08 |
| 1760704753 | Altaview Hospital | General Acute Care Hospital | 9660 South 13th East, Sandy, UT 84094 | 2010-02-18 |
| 1750518676 | Julie Christensen | Social Worker | 833 E 9400 S, Sandy, UT 84094 | 2009-06-18 |
| Find all providers in zip 84094 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467607135 | Melinda Sue Liddle | Pediatrics | 9720 S 1300 E Ste 100, Sandy, UT 84094-3712 | 2008-11-22 |
| 1356467500 | Julie Ann Gustin | Pediatrics | 9720 S 1300 E Ste E100, Sandy, UT 84094-3743 | 2007-03-21 |
| 1396737490 | Mark Christian Robison | Pediatrics | 1982 E Viscounti Cv, Sandy, UT 84093-1059 | 2005-08-16 |
| 1700329091 | David R Boettger Md PC | Pediatrics | 9720 S 1300 E, Sandy, UT 84094-3712 | 2016-11-18 |
| 1720433006 | Carla Suarez | Pediatrics | 9450 S 1300 E, Sandy, UT 84094 | 2016-04-25 |
| 1649560269 | Amy E Rapp | Pediatrics | 9720 S 1300 E, Suite 100, Sandy, UT 84094-3712 | 2011-04-15 |
| 1891997557 | Woodrow Cannon Marriott | Pediatrics | 9720 S 1300 E, Suite E 100, Sandy, UT 84094-3712 | 2007-06-04 |
| 1790816973 | Ihc Health Services Inc | Pediatrics | 9720 S 1300 E, #100, Sandy, UT 84094-3712 | 2007-03-08 |
| 1699802348 | Ihc Health Services Inc | Pediatrics | 9720 S 1300 E, #100, Sandy, UT 84094-3712 | 2007-02-28 |
| 1184723165 | David Nils Lofgren | Pediatrics | 1434 E 9400 S, Suite 100, Sandy, UT 84093-2957 | 2006-09-22 |
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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.