PATRICK JACKSON


Address: 3800 Reservoir Rd Nw, Washington, DC 20007-2113
Phone: 2024447252

PATRICK JACKSON (NPI# 1508865940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508865940
Entity Type Individual
Full Name PATRICK JACKSON
Credential MD
Practice Address 3800 Reservoir Rd Nw
Washington
DC 20007-2113
Mailing Address Po Box 418283
Boston
MA 02241-8283
Practice Telephone 2024447252
Mailing Telephone 7035581544
Enumeration Date 2005-07-19
Last Update Date 2012-03-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 34241 DC Allopathic & Osteopathic Physicians

Other Providers PATRICK JACKSON

NPI Name Taxonomy Address Enumeration
1295341097 Patrick Dale Jackson Pharmacist 19300 S Hamilton Ave Ste 170-180, Gardena, CA 90248-4400 2020-09-17
1871141457 Patrick Dior Jackson Counselor 5111 S 3rd St, Louisville, KY 40214-2601 2019-08-28
1962968560 Patrick Jackson Behavior Technician 918 Eisenhower Dr, Rock Springs, WY 82901-4449 2019-02-19
1427273713 Patrick Louis Jackson Sr. Durable Medical Equipment & Medical Supplies 58110 W W Harleaux St, Plaquemine, LA 70764-3230 2007-04-13
1093253833 Patrick Jackson Chiropractor 630 National Hwy, Thomasville, NC 27360-2601 2017-02-01
1629414701 Patrick Jackson Emergency Medicine 1000 Blythe Blvd, Charlotte, NC 28203-5812 2013-05-16
1548587835 Patrick E Jackson Internal Medicine 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2010-04-26
1619062908 Patrick Jackson Dentist 16 Washington St, Toms River, NJ 08753-7643 2006-10-04

Office Location

Street Address 3800 RESERVOIR RD NW
City WASHINGTON
State DC
Zip Code 20007-2113

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396748802 John Hugh Lynch Urology 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2005-05-31
1346841087 Shahrzad Chitsaz Pharmacist 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2020-11-07
1891392296 Morgan M Casimir Occupational Therapist 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2020-10-08
1922615764 Kelly Trump Nurse Practitioner 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2020-09-25
1790392819 La Sheron A Bankhead Speech-Language Pathologist 3800 Reservoir Rd Nw, Bles Building, Ground Floor, Room Cg-12, Washington, DC 20007 2020-09-24
1689289688 Laurie L Nguyen Registered Nurse 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2020-09-15
1598370652 Yazan Subhi Juma' Student in an Organized Health Care Education/Training Program 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2020-09-14
1326653668 Allison Elizabeth Boyd Physician Assistant 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2020-09-14
1770198301 Medstar Medical Group II LLC Internal Medicine 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2020-09-10
1497370167 Kirby K Edsill Internal Medicine 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2020-06-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447872411 Pamela Angela Jackson Counselor 3720 S Street N.w Lestine Jackson, House, Washington, DC 20007 2020-05-13
1992289334 Chelsea Carolyn Stahl Nurse Practitioner Medstar Georgetown University Hospital Rad Oncology, 3800 Reservoir Road Nw Ll Bles, Washington, DC 20007 2018-09-21
1205322070 Etta L Sandler Social Worker 3222 N Street, N.w., # 300, Washington, DC 20007 2018-07-05
1609361286 Sarah Kathryn Thibeau Speech-Language Pathologist 4759 Reservoir Rd, Nw, Washington D.c., DC 20007 2018-06-26
1366947871 Stephen William Kwong Student in an Organized Health Care Education/Training Program Medstar Georgetown University Hospital, 3800 Reservoir Road, Washington, DC 20007 2018-03-27
1720599020 Nnenna Sylverline Ewuzie Home Health Aide 501 School Street, Sw Suit 200, Professional Health Care Resources, Washington, DC 20007 2017-10-13
1457870958 Chief Logan Health Supplies Durable Medical Equipment & Medical Supplies 3220 N St Nw #1400, Washington, DC 20007 2017-09-15
1174985220 Robert Matthew Cronin Physician Assistant 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 2016-03-27
1194111898 Clute Clinic Nurse Practitioner 1315 31 St Nw, Washington, DC 20007 2015-04-09
1003211129 Mary Oluwaseyi Akinbo Registered Nurse 1010 Wisconsin Ave N.w., Suite 300, Washington, DC 20007 2014-10-31
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932526407 Dingchao He Surgery 6323 Georgia Ave Nw Ste 101, Washington, DC 20011 2014-03-24
1467893446 Adeel Ahmed Shamim Surgery Howard University Hospital Dept of Surgery, 2041 Georgia Avenue Nw, Washington, DC 20060-0001 2013-07-08
1720423486 Pejman Radkani Surgery 3800 Reservoir Rd Nw Fl 2, Washington, DC 20007 2013-05-07
1700220258 Hanh Tam Thi Tran Surgery 5255 Loughboro Rd Nw Bldg 4th, Washington, DC 20016-2633 2013-04-25
1679916092 Desmond Uwadiale Ohiowele Surgery 2041 Georgia Ave Nw Washington Dc 20059, Washington, DC 20059-6410 2013-04-16
1558623744 Joseph V Rizzo Surgery 58520 Cory Lake Dr, Washington, MI 48094-4206 2012-06-13
1437411998 Sara Elizabeth Berkey Surgery 106 Irving St Nw Ste 2100n, Washington, DC 20010-2927 2012-06-11
1376804732 Valentine Nofong Surgery 2041 Georgia Avenue Nw Howard University Hospital, Washington, DC 20060-1000 2012-06-01
1639455637 Amy Elizabeth Dubois Surgery 1212 E Capitol St Ne, Washington, DC 20002-6244 2011-10-23
1639495799 Taryn Elise Travis Surgery 110 Irving St Nw Rm 3b-55, Washington, DC 20010-3017 2010-04-14
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City WASHINGTON
Zip Code 20007

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Dataset Information

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.

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