DR. JORDAN M HACKWORTH (NPI# 1629299284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629299284 |
| Entity Type | Individual |
| Full Name | DR. JORDAN M HACKWORTH |
| Credential | M.D. |
| Practice Address |
5036 40th Ave Ne Seattle WA 98105 |
| Mailing Address |
112 Roys Pl Charlottesville VA 22902-6069 |
| Practice Telephone | 2063557137 |
| Mailing Telephone | 4348824417 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 0101247514 | VA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
0101247514 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
5036 40TH AVE NE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649778010 | Rhonwyn Suzanne Ernesto | Anesthesiology | 6321 Seaview Ave Nw Unit 19, Seattle, WA 98107-2671 | 2018-01-31 |
| 1821501966 | Pudkrong Kaewpichit | Anesthesiology | 325 9th Ave # 359724, Seattle, WA 98104-2420 | 2017-11-12 |
| 1316478258 | John Robert Coleman | Anesthesiology | 1100 9th Ave Ms: M4-pfs, Seattle, WA 98101 | 2017-03-22 |
| 1538546916 | Kimberly Ann Silka | Anesthesiology | 1595 Ne Pacific Street, Seattle, WA 98195-2033 | 2015-05-05 |
| 1326450776 | Sarah Brown | Anesthesiology | 4800 Sand Point Way Ne # 11.500, Seattle, WA 98105-3901 | 2014-05-20 |
| 1760892426 | Sarah Camellia Baldridge | Anesthesiology | Anesthesiology Residency, 1959 Ne Pacific Street, Box 356540, Seattle, WA 98195 | 2014-05-04 |
| 1699115725 | Bernice Ruth Hecker | Anesthesiology | 1127 Federal Ave E, Seattle, WA 98102-4314 | 2013-07-03 |
| 1194168583 | Erica Laine Holland | Anesthesiology | 4800 Sand Point Way Ne # 11500, Seattle, WA 98105-3901 | 2013-04-16 |
| 1710203203 | Matthew Wade Cotton | Anesthesiology | 941 N 78th St, Seattle, WA 98103-4709 | 2010-04-09 |
| 1467778993 | Ben Maniwatana | Anesthesiology | 1229 Madison St 1440, Seattle, WA 98104-3538 | 2010-04-08 |
| Find all providers in SEATTLE | ||||
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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.