KATHARINE JACKSON


Address: 820 N Chelan Ave, Wenatchee, WA 98801-2028
Phone: 5096638711

KATHARINE JACKSON (NPI# 1780840579) 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) 1780840579
Entity Type Individual
Full Name KATHARINE JACKSON
Credential MD
Practice Address 820 N Chelan Ave
Wenatchee
WA 98801-2028
Practice Telephone 5096638711
Mailing Telephone 5096638711
Enumeration Date 2008-08-01
Last Update Date 2015-03-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery MD60462377 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 1780840579 05
WA RR MEDICARE P01421059 01

Office Location

Street Address 820 N CHELAN AVE
City WENATCHEE
State WA
Zip Code 98801-2028

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194728329 John J Loffarelli Internal Medicine 820 N Chelan Ave, Wenatchee, WA 98801-2028 2005-05-23
1376166124 Alonso Castro Aroyo Optometrist 820 N Chelan Ave, Wenatchee, WA 98801-2028 2020-05-27
1275190746 Matthew L Karr Pharmacist 820 N Chelan Ave, Wenatchee, WA 98801-2028 2019-05-21
1891352381 Victoria B Chong Pharmacist 820 N Chelan Ave, Wenatchee, WA 98801-2028 2019-05-21
1871159319 Mary Zontek Case Manager/Care Coordinator 820 N Chelan Ave, Wenatchee, WA 98801-2028 2019-05-09
1124585633 Valerie Rose Wintler Nurse Practitioner 820 N Chelan Ave, Wenatchee, WA 98801-2028 2019-02-21
1831654524 Catherine Elisabeth Clift Nurse Practitioner 820 N Chelan Ave, Wenatchee, WA 98801-2028 2019-02-06
1891265088 Kelsey Marie Cibicki Nurse Practitioner 820 N Chelan Ave, Wenatchee, WA 98801-2028 2018-11-29
1568956613 Elizabeth Grace Schroeder Occupational Therapist 820 N Chelan Ave, Wenatchee, WA 98801-2028 2018-06-20
1942793757 John Reese Bradburn Physician Assistant 820 N Chelan Ave, Wenatchee, WA 98801 2018-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033728365 Jeannie Jones Massage Therapist 15 2nd St, Hallway 15, Wenatchee, WA 98801 2020-07-22
1184246688 Mireya Ann Bahena Case Manager/Care Coordinator Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 2020-05-07
1871067843 Bfg Wenatchee Propco Iv, LLC Assisted Living Facility 817 Red Apple Rd, Wenatchee, WA 98801 2019-01-14
1982177283 Michael Lee Miller Behavioral Analyst 264 N. Mission, Wenatchee, WA 98801 2019-01-09
1972073526 Daniel Jentges Family Medicine 413 N Mission St., Wenatchee, WA 98801 2018-11-27
1972010437 Daniel Nickel Occupational Therapy Assistant 217 Wetherald St, Wenatchee, WA 98801 2018-01-05
1962916379 The Professional Denture Center Denturist 533 South Mission St, Wenatchee, WA 98801 2017-11-21
1467978155 Matthew Jerauld Laws Massage Therapist 416 Ninth Street, Wenatchee, WA 98801 2017-08-15
1073051363 Kimberley Rae Chambers Massage Therapist 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 2017-02-07
1841746187 Valentina Alvarez Counselor 145 S Worthern, Wenatchee, WA 98801 2016-08-28
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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
1215279252 Gregory Albert Lammert Surgery 820 N Chelan Ave, Wenatchee, WA 98801 2013-03-16
1538489224 Judah Slavkovsky Surgery 820 N Chelan Ave, Wenatchee, WA 98801-2028 2010-06-04
1811121684 Cecilia Trydestam Surgery 820 N Chelan Ave, Wenatchee, WA 98801-2028 2009-05-08
1588821524 Catherine M Straub Surgery 820 N Chelan Ave, Wenatchee, WA 98801-2028 2008-05-19
1366624330 Eric E. Liedtke Surgery 820 N Chelan Ave, Wenatchee, WA 98801-2028 2007-12-03
1710087606 Darren Michael Hess Surgery 820 N Chelan Ave, Wenatchee, WA 98801-2028 2006-09-22
1952325474 Thomas R Tuszynski Surgery 820 N Chelan Ave, Wenatchee, WA 98801-2028 2006-07-27
1063432201 Daniel R Sparks Surgery 820 N Chelan Ave, Wenatchee, WA 98801-2028 2006-07-20
1215955588 Jeffrey T Monson Surgery 820 N Chelan Ave, Wenatchee, WA 98801-2028 2006-07-17
1568488815 Stephen B Knox Surgery 820 N Chelan Ave, Wenatchee, WA 98801-2028 2006-07-13
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Competitor

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City WENATCHEE
Zip Code 98801

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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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