DR. TYLER JACKSON (NPI# 1295355816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295355816 |
| Entity Type | Individual |
| Full Name | DR. TYLER JACKSON |
| Credential | MD |
| Practice Address |
1625 N Campbell Ave Tucson AZ 85719-4330 |
| Practice Telephone | 5206267233 |
| Mailing Telephone | 5206267233 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | R77929 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033693155 | Tyler Jackson | Social Worker | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2018-09-25 |
| 1225518426 | Tyler Dean Jackson | Social Worker | 4455 Ne Hwy 20, Corvallis, OR 97330 | 2018-08-16 |
| 1306342084 | Tyler Jackson | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2018-04-02 |
| 1336594696 | Tyler Jackson | Specialist/Technologist | 1400 Montgomery Ave, Bryn Mawr, PA 19010-1631 | 2016-04-25 |
| 1023489796 | Tyler Jackson | Physical Therapist | 20823 Stevens Creek Blvd, Cupertino, CA 95014-2108 | 2015-10-07 |
| 1245560002 | Tyler Drew Jackson | Case Manager/Care Coordinator | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2009-12-29 |
| 1952583528 | Tyler Bradley Jackson | Occupational Therapy Assistant | 907 N 2nd St, Albemarle, NC 28001-3317 | 2007-12-05 |
| Street Address |
1625 N CAMPBELL AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104816800 | Suelyn D Hall-harper | Urology | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2005-10-24 |
| 1396345955 | Deanna Lee Merrill | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-10-31 |
| 1952900565 | Kayla Mckenna Meyers | Electrodiagnostic Medicine | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-10-23 |
| 1972110922 | Joel S Silva | Nurse Practitioner | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-09-24 |
| 1730792672 | Garret Sewell | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-29 |
| 1144832304 | Suzannah Gallaher | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-19 |
| 1497367502 | Nichole Carrigan | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-19 |
| 1184236531 | Jeremiah James Palicka | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-18 |
| 1841802378 | Brittany Ann Rygg | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-17 |
| 1891304192 | Nadeem Hussain | Internal Medicine | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1487181491 | Alexander Joseph Tomesch | Emergency Medicine | 655 N Alvernon Way Ste 228, Tucson, AZ 85711-1853 | 2017-05-22 |
| 1245689108 | Mary Logsdon | Emergency Medicine | 1842 E. Elm St., Tucson, AZ 85719 | 2016-06-10 |
| 1053791749 | Eric Lederer | Emergency Medicine | 3950 S. Country Club Rd, Ste. 200, Tucson, AZ 85713 | 2015-06-08 |
| 1811377476 | Nicholas Hernandez | Emergency Medicine | 3950 S Country Club Rd Ste 200, Tucson, AZ 85714-2227 | 2015-06-08 |
| 1710366851 | Justin Eales | Emergency Medicine | Banner University Medical Center 1501 N Ave, Tucson, AZ 85724-0001 | 2015-05-21 |
| 1730575101 | Colin A. West | Emergency Medicine | Banner University Medical Center Tucson, 1501 N. Campbell Ave., Tucson, AZ 85724 | 2015-04-12 |
| Find all providers in TUCSON | ||||
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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.