SHAUN CHADRICK JACKSON (NPI# 1407013691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407013691 |
| Entity Type | Individual |
| Full Name | SHAUN CHADRICK JACKSON |
| Credential | MD |
| Practice Address |
423 Treeline Park Suite 325 San Antonio TX 78209-2060 |
| Mailing Address |
45 Ne Loop 410 Ste 850 San Antonio TX 78216-5824 |
| Practice Telephone | 2108059800 |
| Mailing Telephone | 2108059800 |
| Mailing Fax Number | 2108058770 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | M9372 | TX | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
M9372 | TX | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
M9372 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1984007-01 | 05 | |
| TX | MEDICARE PTAN | 8L0027 | 01 |
| TX | MEDICAL LICENSE | M9372 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2424 Babcock Rd Ste 202, San Antonio, TX 782296031 | 2105461460 | 2105461459 |
| 861 Landa St, New Braunfels, TX 781306115 | 2105461460 | 2105461459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588999296 | Shaun Charles Jackson | Chiropractor | 2406 Princess Anne Rd, Virginia Beach, VA 23456-3409 | 2009-10-14 |
| 1780845818 | Shaun William Jackson | Pediatrics | 4800 Sand Point Way Ne, Seattle Children's Hospital, Division of Nephrology, Seattle, WA 98105 | 2008-06-20 |
| Street Address |
423 TREELINE PARK SUITE 325 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78209-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503092 | Suresh Koneru | Plastic Surgery | 423 Treeline Park, Suite 300, San Antonio, TX 78209-2060 | 2005-07-29 |
| 1588031777 | Lydia Ann Trejo | Nurse Practitioner | 423 Treeline Park, Suite 325, San Antonio, TX 78209-2060 | 2015-08-24 |
| 1326308305 | Jerry W. Patterson, D.p.m, P.a. | Podiatrist | 423 Treeline Park, Suite 315, San Antonio, TX 78209-2060 | 2012-05-23 |
| 1083912323 | Dallas Justin Patterson | Podiatrist | 423 Treeline Park, Suite #315, San Antonio, TX 78209-2060 | 2011-03-10 |
| 1700049400 | Concord Imaging At The Quarry, Pa | Radiology | 423 Treeline Park, Suite 100, San Antonio, TX 78209-1997 | 2008-07-03 |
| 1629271705 | Imaging Partners of San Antonio, Lllp | Radiology | 423 Treeline Park, Suite 101, San Antonio, TX 78209-1997 | 2007-06-07 |
| 1891907424 | Advanced Concpets In Plastic Surgery Pa | Specialist | 423 Treeline Park, Suite 300, San Antonio, TX 78209 | 2007-05-04 |
| 1912059262 | Oakdell Pharmacy LLC | Pharmacy | 423 Treeline Park, Ste 201, San Antonio, TX 78209-2060 | 2007-01-17 |
| 1962428268 | Christus Santa Rosa Pasc-san Antonio LLC | Clinic/Center | 423 Treeline Park, Suite 202, San Antonio, TX 78209-1997 | 2006-07-14 |
| 1215968235 | Consultants In Pain Medicine, P.a. | Pain Medicine | 423 Treeline Park, Suite 325, San Antonio, TX 78209-2060 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| 1265086045 | Westlake Dermatology, Pa | Dermatology | 5500 Broadway Ave, Alamo Heights, TX 78209 | 2019-07-30 |
| 1194207530 | Arthur Davies | Licensed Vocational Nurse | 8700 Crownhill Blvd #300, San Antonio, TX 78209 | 2018-09-01 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1871072645 | Olawunmi Olapeju Odele | Licensed Vocational Nurse | 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 | 2018-08-12 |
| 1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
| 1083117428 | New Choices Treatment Center LLC | Substance Abuse Rehabilitation Facility | 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 | 2018-03-12 |
| 1629570106 | Julieta Rubio Hobbs | Counselor | 4301 Broadway St. 438, San Antonio, TX 78209 | 2018-03-01 |
| 1326550187 | Shannon Lee Crowley | Occupational Therapy Assistant | 403 Irvington Dr, San Antonio, TX 78209 | 2017-11-01 |
| 1932627007 | Juanita De Luna Salazar | Physical Therapist | 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 | 2017-09-08 |
| Find all providers in zip 78209 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750811287 | Saspine, LLC | Pain Medicine | 8401 Datapoint Drive, Suite 700, San Antonio, TX 78229-5907 | 2017-06-18 |
| 1982058160 | River City Pain Management, Pllc | Pain Medicine | 9150 Huebner Rd Ste 155, San Antonio, TX 78240-1598 | 2016-04-14 |
| 1215327671 | Consultants In Pain Medicine, Pa | Pain Medicine | 10423 State Highway 151, Suite 103, San Antonio, TX 78251-4551 | 2015-01-23 |
| 1306236765 | Consultants In Pain Medicine, Pa | Pain Medicine | 7003 S New Braunfels Ave Ste 106, San Antonio, TX 78223-4589 | 2015-01-23 |
| 1306114533 | Hill Country Pain Associates, P.a. | Pain Medicine | 14800 San Pedro Ave Ste 202, San Antonio, TX 78232-3734 | 2011-12-02 |
| 1497763304 | Shyam Purswani | Pain Medicine | 2455 Ne Loop 410 Ste 101, San Antonio, TX 78217-5650 | 2006-08-04 |
| 1699703066 | Scott P Worrich | Pain Medicine | 4680 Lockhill Selma Rd Ste 200, San Antonio, TX 78249-2094 | 2006-06-28 |
| 1346223211 | Justin Joaquin Vigil | Pain Medicine | 14800 San Pedro Ave, Suite 115, San Antonio, TX 78232-3733 | 2005-11-23 |
| 1396744660 | Stephanie Stella Jones | Pain Medicine | 555 E Basse Rd, Ste 117, San Antonio, TX 78209-8353 | 2005-07-19 |
| 1639178908 | Charles William Murphy | Pain Medicine | 14800 San Pedro, Suite 115, San Antonio, TX 78232-3733 | 2005-07-19 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78209 |
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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.