DAVID M JACKMAN (NPI# 1386622413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386622413 |
| Entity Type | Individual |
| Full Name | DAVID M JACKMAN |
| Credential | M.D. |
| Practice Address |
44 Binney St Dana-farber Cancer Institute, Room 1234c Boston MA 02115-6013 |
| Mailing Address |
100 Rosemary Way Apt. # 133 Needham MA 02494-1210 |
| Practice Telephone | 6176326646 |
| Practice Fax Number | 6176325786 |
| Mailing Telephone | 6176326646 |
| Mailing Fax Number | 6176325786 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2007-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
221928 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
44 BINNEY ST DANA-FARBER CANCER INSTITUTE, ROOM 1234C |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-6013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900507 | Carlos Rodriguez-galindo | Pediatrics | 44 Binney St, Sw350, Boston, MA 02115-6013 | 2005-05-27 |
| 1033741236 | Ryan Boudreau | Physician Assistant | 44 Binney St, Boston, MA 02115-6084 | 2020-02-06 |
| 1689125536 | Raquel Donnelly | Physician Assistant | 44 Binney St, Boston, MA 02115-6013 | 2016-10-16 |
| 1174971972 | Lindsay Hoyt | Nurse Practitioner | 44 Binney St, Boston, MA 02115-6013 | 2016-06-02 |
| 1356725006 | Ross Pinter | Physician Assistant | 44 Binney St, Boston, MA 02115-6013 | 2015-07-13 |
| 1184046583 | Zi Yazan Alabed | Student in an Organized Health Care Education/Training Program | 44 Binney St, Radiology, Dana-farber Cancer Institute, Boston, MA 02115-6013 | 2014-01-20 |
| 1790048072 | Chantel Danielle Cacciotti | Student in an Organized Health Care Education/Training Program | 44 Binney St, Boston, MA 02115-6084 | 2012-06-21 |
| 1346510138 | Hilary Donahue | Physician Assistant | 44 Binney St, Boston, MA 02115-6013 | 2012-01-10 |
| 1073817524 | Elgene Lim | Internal Medicine | 44 Binney St, Yawkey 1242, Boston, MA 02446 | 2010-12-27 |
| 1477853372 | Alexis Exarhopoulos Landry | Physician Assistant | 44 Binney St, Hematology Oncology, Boston, MA 02115-6013 | 2010-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
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| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942782644 | Tal Sella | Internal Medicine | 450 Brookline Ave Fl Yawkey12, Boston, MA 02215-5418 | 2018-08-30 |
| 1154610376 | Kien-ninh Ina Ly | Internal Medicine | Pappas Center for Neuro-oncology, Yawkey 9e, 55 Fruit Street, Boston, MA 02114 | 2011-03-29 |
| 1891953196 | Lakshmi Nayak | Internal Medicine | 450 Brookline Ave # Da2108a, Boston, MA 02215-5418 | 2008-05-23 |
| 1487844528 | Iain J Webb | Internal Medicine | 20 Fayette St, Apt #2, Boston, MA 02116-5507 | 2007-07-25 |
| 1265557102 | Jason S Fisherman | Internal Medicine | 184 High St, 4th Floor, Boston, MA 02110-3001 | 2007-03-20 |
| 1306871637 | Irene M Ghobrial | Internal Medicine | Dana Farber Cancer Institute, 44 Binney Street, Boston, MA 02215 | 2006-07-12 |
| 1265464788 | James W Mier | Internal Medicine | Beth Israel Med Center, 330 Brookline Ave, Boston, MA 02215 | 2006-07-07 |
| 1013956002 | Michael A Goldstein | Internal Medicine | Beth Israel Deconess Medical Center, 330 Brookline Ave, Boston, MA 02216-0001 | 2006-06-05 |
| 1285671453 | Jill N Allen | Internal Medicine | 55 Fruit Street Yawkey 7e, Massachusetts General Hospital, Boston, MA 02114 | 2006-05-31 |
| 1487600961 | Levi A Garraway | Internal Medicine | 44 Binney Street, D1542, Dana Farber Cancer Institute, Boston, MA 02115 | 2006-05-26 |
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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.