JACKSON FERGUSON (NPI# 1396017265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396017265 |
| Entity Type | Individual |
| Full Name | JACKSON FERGUSON |
| Credential | PA-C |
| Practice Address |
13402 W Coal Mine Ave Suite 230 Littleton CO 80127-5407 |
| Practice Telephone | 3037302167 |
| Practice Fax Number | 3039964820 |
| Mailing Telephone | 3037302167 |
| Mailing Fax Number | 3039964820 |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2014-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0004074 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA165403 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13402 W COAL MINE AVE SUITE 230 |
| City | LITTLETON |
| State | CO |
| Zip Code | 80127-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447211487 | Nicole Elaine Hoffman | Family Medicine | 13402 W Coal Mine Ave, Ste 230, Littleton, CO 80127-5407 | 2006-03-29 |
| 1629517800 | Northwest Surgery Center, LLC | Clinic/Center | 13402 W Coal Mine Ave, 310, Littleton, CO 80127-5407 | 2017-02-21 |
| 1124566955 | Denver Diagnostic Pain Corporation | Anesthesiology | 13402 W Coal Mine Ave, Ste240, Littleton, CO 80127-5407 | 2017-01-31 |
| 1972963569 | Nancy Fischer | Social Worker | 13402 W Coal Mine Ave, Suite 200, Littleton, CO 80127-5407 | 2016-02-25 |
| 1396103420 | Asc Denver West LLC | Clinic/Center | 13402 W Coal Mine Ave, Suite 300, Littleton, CO 80127-5407 | 2016-02-03 |
| 1285007799 | Anneka Landgraf Quinn | Nurse Practitioner | 13402 W Coal Mine Ave, Ste 200, Littleton, CO 80127-5407 | 2015-11-05 |
| 1043611825 | Karlin Petracek Pllc | Dentist | 13402 W Coal Mine Ave, Suite 270, Littleton, CO 80127-5407 | 2014-09-11 |
| 1073839304 | Danielle Kay Pou | Physician Assistant | 13402 W Coal Mine Ave, Suite 230, Littleton, CO 80127-5407 | 2010-04-12 |
| 1396908711 | Eric T Shaw | Pediatrics | 13402 W Coal Mine Ave, Suite 200, Littleton, CO 80127-5407 | 2008-07-07 |
| 1720269020 | Altitude Family & Internal Medicine, LLC | Clinic/Center | 13402 W Coal Mine Ave, Suite 230, Littleton, CO 80127-5407 | 2007-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275029571 | Victoria Jane Getzen | Physical Therapist | 10239 D W Fair Ave, Littleton, CO 80127 | 2018-07-10 |
| 1720506306 | Nola Lynn Walker Palmer | Registered Nurse | 11052 W. Cooper Drive, Littleton, CO 80127 | 2017-09-05 |
| 1356863922 | Hanna Tarsunova Page | Audiologist | 6578 S Alkire St, Unit 1628, Littleton, CO 80127 | 2017-07-14 |
| 1316307879 | Colleen Imerman | Speech-Language Pathologist | 8 Wild Turkey Lane, Littleton, CO 80127 | 2016-02-26 |
| 1407241011 | Priya Dokken | Pediatrics | 10901 W Toller Dr Ste 101, Littleton, CO 80127 | 2015-03-31 |
| 1003210907 | Denya Wormenor | Counselor | 8420 S. Continental Divide Road #222, Littleton, CO 80127 | 2014-10-21 |
| 1114328150 | Littleton-bowles Medical Center LLC | Clinic/Center | 13351 West Bowles Ave, Littleton, CO 80127 | 2014-09-09 |
| 1417365040 | Amanda Bird | Physician Assistant | 271 West County Line Road, Littleton, CO 80127 | 2014-07-28 |
| 1174933642 | Stacy Hart | Counselor | 8420 S Continental Divide Rd #223, Littleton, CO 80127 | 2014-05-05 |
| 1124443601 | Meredith L. Bremner | Physical Therapist | 6612 S. Ward Street, Littleton, CO 80127 | 2014-02-20 |
| Find all providers in zip 80127 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704394 | Monica Gordon | Physician Assistant | 6856 S Dover Way, Littleton, CO 80128-4054 | 2020-09-11 |
| 1154939023 | Anna Nguyen | Physician Assistant | 4449 S Jellison Way, Littleton, CO 80123-1181 | 2020-07-16 |
| 1912532151 | Kallie Keith | Physician Assistant | 7685 S Harlan St, Littleton, CO 80128-5946 | 2020-03-09 |
| 1255825089 | Kathryn Calderwood | Physician Assistant | 7780 S Broadway Ste 250, Littleton, CO 80122-2633 | 2018-06-15 |
| 1609319789 | Sarah J Hostert | Physician Assistant | 13402 W Coal Mine Ave Ste 240a, Littleton, CO 80127-5407 | 2016-11-22 |
| 1639626286 | Allison Griffin Moore | Physician Assistant | 7720 S Broadway Ste 350, Littleton, CO 80122-2634 | 2016-09-01 |
| 1124495221 | Nancy Cobb | Physician Assistant | 8966 W Bowles Ave Ste L, Littleton, CO 80123-3454 | 2015-08-25 |
| 1609292101 | Taralyn Hoflen | Physician Assistant | 4798 W Mineral Ave Apt 203, Littleton, CO 80128-2621 | 2014-03-10 |
| 1104120518 | Michelle Warrick | Physician Assistant | 8199 South Park Lane, Ste #100, Littleton, CO 80120 | 2010-12-28 |
| 1487964466 | Lauren E Turra | Physician Assistant | 7780 S Broadway Ste 100, Littleton, CO 80122-2633 | 2010-10-08 |
| Find all providers in LITTLETON | ||||
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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.