WILLIAM STEWART THORNLEY JACKSON (NPI# 1669403945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669403945 |
| Entity Type | Individual |
| Full Name | WILLIAM STEWART THORNLEY JACKSON |
| Credential | M.D. |
| Practice Address |
921 Dana Highlands Ct Lafayette CA 94549-1737 |
| Practice Telephone | 9253701135 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
A17363 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A173630 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376901603 | William Jackson | Case Manager/Care Coordinator | 1001 W Broadway Ste B, Farmington, NM 87401-5638 | 2016-02-01 |
| 1104237338 | William Jackson | Surgery | 101 S Ravenel St Ste 230, Florence, SC 29506-2624 | 2014-05-09 |
| 1851646129 | William Jackson | Specialist | 5 Shorewood Ln, Centerport, NY 11721-1731 | 2012-07-23 |
| 1083904502 | William Materson Jackson | Registered Nurse | 1730 Brunswick Dr, Blacksburg, VA 24060-1988 | 2011-04-18 |
| 1912231721 | William Roland Jackson | Counselor | 2772 S. Mlk Blvd., Fresno, CA 93706-5345 | 2009-09-25 |
| 1427290667 | William E Jackson | Physician Assistant | 9261 E Northview Ct, Tucson, AZ 85749-9792 | 2009-04-02 |
| 1487846366 | William Bradley Jackson | Physical Therapy Assistant | 176 Division St, Great Barrington, MA 01230-1179 | 2007-08-14 |
| 1316144215 | William Lorenzo Jackson | Internal Medicine | 300 Rodgers Blvd, Terminal Box Unit-67, Honolulu, HI 96819-1890 | 2007-07-02 |
| 1366585226 | William Spencer Jackson | Counselor | 880 W 12th St, Reno, NV 89503-2601 | 2007-02-14 |
| 1417006594 | William Kenneth Jackson | Dentist | 11411 N Central Expy Ste K, Dallas, TX 75243-6606 | 2007-01-09 |
| Street Address |
921 DANA HIGHLANDS CT |
| City | LAFAYETTE |
| State | CA |
| Zip Code | 94549-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
| 1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
| 1528525375 | Tiara Lajai Aubrey | Behavior Technician | 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 | 2019-02-28 |
| 1215409990 | Marisa Della Marmolejo | Case Manager/Care Coordinator | Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-12-19 |
| 1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| 1104393396 | Alexis Taper | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-10-26 |
| 1023508793 | Alyssa Savinovich | Behavior Technician | 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-05-17 |
| 1831689140 | Kannambra M Raja | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-05-11 |
| Find all providers in zip 94549 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316440563 | California Integrated Surgeons, Medical Corporation | Orthopaedic Surgery | 2750 Rohrer Dr, Lafayette, CA 94549-5753 | 2018-03-14 |
| 1295238442 | Northern California Integrated Surgeons, Medical Corporation | Orthopaedic Surgery | 2750 Rohrer Dr, Lafayette, CA 94549-5753 | 2018-03-14 |
| 1790003788 | Paul Curtis Buzhardt | Orthopaedic Surgery | 4212 W Congress St Ste 3100, Lafayette, LA 70506-6771 | 2010-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875023 | Adnan Cutuk, M.d. Inc. | Orthopaedic Surgery | 300 S Pierce St Ste 202, El Cajon, CA 92020-4124 | 2017-07-26 |
| 1932526555 | Mark Greenspan | Orthopaedic Surgery | 4955 Van Nuys Blvd Ste 704, Sherman Oaks, CA 91403-1819 | 2014-03-20 |
| 1548527864 | Philip Kiplinger | Orthopaedic Surgery | 19459 Shasta Rd, Apple Valley, CA 92307-4726 | 2012-04-12 |
| 1962778597 | Zachary Lum | Orthopaedic Surgery | Uc Davis Health - Department of Orthopaedic Surgery, 4860 Y Street, Suite 1700, Sacramento, CA 95817 | 2012-03-28 |
| 1508165721 | Michael Pitta | Orthopaedic Surgery | 12 Upper Ragsdale Dr Ste A, Monterey, CA 93940-5730 | 2011-03-28 |
| 1255638151 | Pier Francesco Indelli | Orthopaedic Surgery | 6841 Tunbridge Way, San Jose, CA 95120-2145 | 2011-02-12 |
| 1942510441 | Dilip Tapadiya M.d. Inc | Orthopaedic Surgery | 11170 Warner Ave Suite106, Fountain Valley, CA 92708 | 2010-10-18 |
| 1578886487 | Ricardo Alberto Moncho | Orthopaedic Surgery | 1417 Rutherford Dr, Pasadena, CA 91103-2775 | 2010-03-05 |
| 1598905382 | William Long, Md | Orthopaedic Surgery | 637 S. Lucas Ave. 1st Fl., Los Angeles, CA 90017 | 2009-03-06 |
| 1699925768 | Sumit Hamendra Rana | Orthopaedic Surgery | 7301 Medical Center Dr Ste 400, West Hills, CA 91307-1988 | 2008-09-25 |
| Find all providers with the same taxonomy | ||||
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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.