MARKUS JACKSON MD INC


Address: 4016 Dale Rd, Modesto, CA 95356-9268
Phone: 7062888683

MARKUS JACKSON MD INC (NPI# 1770104606) 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) 1770104606
Entity Type Organization
Organization Name MARKUS JACKSON MD INC
Practice Address 4016 Dale Rd
Modesto
CA 95356-9268
Mailing Address 2412 37th St
Sacramento
CA 95817-1302
Practice Telephone 7062888683
Mailing Telephone 7062888683
Enumeration Date 2020-05-01
Last Update Date 2020-05-01
Authorized Official Name DR. MARKUS R JACKSON (PRESIDENT)
Authorized Official Telephone 7062888683
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 4016 DALE RD
City MODESTO
State CA
Zip Code 95356-9268

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679541528 Benjamin J Remington Specialist 4016 Dale Rd, Modesto, CA 95356-9268 2006-03-08
1548656937 Markus Jackson Anesthesiology 4016 Dale Rd, Modesto, CA 95356-9268 2015-04-13
1619317716 Gregory M Helbig Md Inc Neurological Surgery 4016 Dale Rd, Modesto, CA 95356-9268 2013-07-03
1679718753 Benjamin J Remington M D Inc Neurological Surgery 4016 Dale Rd, Modesto, CA 95356-9268 2008-12-03
1023253101 David B Bybee M D Inc Neurological Surgery 4016 Dale Rd, Modesto, CA 95356-9268 2008-12-03
1972761211 Gregory M Helbig Specialist 4016 Dale Rd, Modesto, CA 95356-9268 2008-05-22
1174622146 American Dental Surgery Centers, Inc. Clinic/Center 4016 Dale Rd, Modesto, CA 95356-9268 2006-09-22
1962508325 Dat Thanh Do Internal Medicine 4016 Dale Rd, Modesto, CA 95356-9268 2006-09-15
1912918962 Kyle B Heron Anesthesiology 4016 Dale Rd, Modesto, CA 95356-9268 2006-08-11
1841230802 John Richard Hamm Internal Medicine 4016 Dale Rd, Modesto, CA 95356-9268 2006-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649809021 Amelia E Delgadillo Licensed Vocational Nurse 501 Triangle Rd, Modesto, CA 95356 2020-04-07
1689220279 Meagan Veneman Physical Medicine & Rehabilitation 125 Hogue Rd, Modesto, CA 95356 2019-08-10
1497131213 Hermes Guardian Transport Non-emergency Medical Transport (VAN) 4221 Erin Way, Modesto, CA 95356 2015-08-04
1811373640 Melissa Ruiz Marriage & Family Therapist 5815 Stoddard Rd Suite 600, Modesto, CA 95356 2015-08-04
1922242866 Lifecare Solutions Inc Durable Medical Equipment & Medical Supplies 500 Glass Ln Ste H, Modesto, CA 95356 2009-04-22
1659541647 Ashley Allison Streeter Dentist 556 Lyell Dr, Modesto, CA 95356 2008-03-05
1265636013 Margaret Kathleen Grisell Orthopaedic Surgery 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 2007-06-14
1841412111 Bobby Gene Boswell Specialist/Technologist 3908 Vintage Cove, Modesto, CA 95356 2007-05-03
1598892861 Merritt Radiological Medical Group Inc Radiology 526 Charity Way, Modesto, CA 95356 2007-02-27
1396871091 Michael Steven Beck Social Worker 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 2007-02-26
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447589353 Jerome A Robson M D Inc Anesthesiology 500 Coffee Road, Suite E, Modesto, CA 95355-4241 2009-12-24
1912918962 Kyle B Heron Anesthesiology 4016 Dale Rd, Modesto, CA 95356-9268 2006-08-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912512567 Clinicas Del Valle, Inc Anesthesiology 120 W. Cole Blvd, Ste. B, Calexico, CA 92231 2020-09-10
1609489418 Cyrus Dadachanji Md Inc. Anesthesiology 34762 Midland Ave, Murrieta, CA 92563-8419 2020-08-31
1962050401 Sky Anesthesia Inc. Anesthesiology 4477 W 118th St Ste 501, Hawthorne, CA 90250-2260 2019-08-28
1932671856 North County Pain Institute Anesthesiology 940 E Valley Pkwy Ste K, Escondido, CA 92025-3441 2018-12-18
1285101824 16th Street Anesthesia Services Corp Anesthesiology 2323 16th St Ste 507, Bakersfield, CA 93301-3454 2018-11-01
1033697305 Heyer Anesthesia PC Anesthesiology 1120 W La Veta Ave Ste 330, Orange, CA 92868-4231 2018-07-30
1982190229 Algos Inc., A Medical Corporation Anesthesiology 12840 Riverside Dr Ste 208, Valley Village, CA 91607-3343 2018-07-10
1093200610 Kevin Dinh Trinh, Md Inc. Anesthesiology 100 Fieldwood, Irvine, CA 92618 2018-06-26
1033616644 Howard Siegel Md Inc Anesthesiology 8112 Milliken Ave Ste 202, Rancho Cucamonga, CA 91730-7473 2018-04-10
1780198952 Unified Physician Associates Inc Anesthesiology 3200 S Bristol St Ste B, Santa Ana, CA 92704-6711 2017-11-27
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Competitor

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City MODESTO
Zip Code 95356

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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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