DR. KAVITA SRIVASTAVA JACKSON (NPI# 1497136600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497136600 |
| Entity Type | Individual |
| Full Name | DR. KAVITA SRIVASTAVA JACKSON |
| Credential | M.D. |
| Practice Address |
1500 Forest Glen Rd Dept Of Silver Spring MD 20910-1460 |
| Mailing Address |
1500 Forest Glen Rd Dept of Emergency Medicine Silver Spring MD 20910-1484 |
| Practice Telephone | 3017547000 |
| Mailing Telephone | 3017547000 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | D0086968 | MD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MT209033 | PA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5501 Old York Rd, Philadelphia, PA 191413018 | 2154563834 |
| Street Address |
1500 FOREST GLEN RD DEPT OF |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20910-1460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417501966 | Marie J Celeste | Developmental Therapist | 623 Ray Dr, Silver Spring, MD 20910 | 2019-08-01 |
| 1205398054 | Maria Andrea Binger | Speech-Language Pathologist | Rosemary Hills Elementary School, 2111 Porter Road, Silver Spring, MD 20910 | 2019-04-02 |
| 1053882803 | Margaret A Avallone | Speech-Language Pathologist | 1515 Sharon Drive, Silver Spring, MD 20910 | 2018-12-05 |
| 1518434117 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 | 2018-11-01 |
| 1669951927 | Camille Smith Espinoza | Social Worker | 8601 Georgia Ave Ste 712, Silver Spring, MD 20910 | 2018-08-08 |
| 1053838615 | Grace Elaine Lozano | Behavior Technician | 8609 2nd Ave Suite 506b, Suite 506b, Silver Spring, MD 20910 | 2017-08-24 |
| 1417471160 | Sooin Lee | Dentist | 923 Bonifant St Unit 1, Silver Spring, MD 20910 | 2017-08-02 |
| 1366963993 | Rct Endodontics, LLC | Dentist | 804 Pershing Dr. #102, Silver Spring, MD 20910 | 2017-07-05 |
| 1720530363 | Aurore Ondongo | Nurse's Aide | 8600 16th Street, Apt 909, Silver Spring, MD 20910 | 2016-10-31 |
| 1700239993 | Kelli Teresa Harkless | Advanced Practice Midwife | 1400 Forest Glen Rd Ste 525, Silver Spring, MD 20910 | 2016-07-22 |
| Find all providers in zip 20910 | ||||
| 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 |
|---|---|---|---|---|
| 1659796803 | Jurriaan Strobos | Emergency Medicine | 1023 N Noyes Dr, Silver Spring, MD 20910-4146 | 2014-02-25 |
| 1750525481 | Roshni Thakore | Emergency Medicine | 708 Rosemere Ave, Silver Spring, MD 20904-3023 | 2009-04-24 |
| 1609933803 | Crystal Mebane Mcginty | Emergency Medicine | 11106 Luttrell Ln, Suite 1500 North, Silver Spring, MD 20902-3555 | 2007-01-03 |
| 1568486868 | Steven Michael Taylor | Emergency Medicine | 8511 Cameron St, Silver Spring, MD 20910-3466 | 2006-07-27 |
| 1912926585 | Steven Grufferman | Emergency Medicine | Dept of Emergency Medicine ...holy Cross Hospital, 1500 Forest Glen Rd, Silver Spring, MD 20910 | 2006-07-18 |
| 1912938408 | Eskinder Afework | Emergency Medicine | 200 Linton Knoll Ct, Silver Spring, MD 20904-1270 | 2006-07-05 |
| 1679527766 | Benjamin S Gonzalez | Emergency Medicine | 12200 Tech Rd, Suite 102, Silver Spring, MD 20904-1983 | 2006-05-22 |
| 1932512803 | Chava Chana Lerman | Emergency Medicine | 1500 Forest Glen Rd, Silver Spring, MD 20910 | 2014-06-08 |
| 1548688468 | Rebecca Kaufman | Emergency Medicine | 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | 2014-03-29 |
| 1558782953 | Harcart Health Holdings LLC | Emergency Medicine | 20 University Blvd E, Silver Spring, MD 20901-2436 | 2014-01-02 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20910 |
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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.