MARNIE JACKSON (NPI# 1881805034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881805034 |
| Entity Type | Individual |
| Full Name | MARNIE JACKSON |
| Credential | MD |
| Practice Address |
7700 Floyd Curl Dr San Antonio TX 78229-3902 |
| Mailing Address |
8109 Fredericksburg Rd Physician Practice Services San Antonio TX 78229-3311 |
| Practice Telephone | 2106921815 |
| Practice Fax Number | 2105754013 |
| Mailing Telephone | 2106921815 |
| Mailing Fax Number | 2105754013 |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2012-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | N0852 | TX | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | N0852 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
N0852 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 197710005 | 05 | |
| TX | STATE LIC | N0852 | 01 |
| TX | BCBS | 8BX291 | 01 |
| INSTITUTIONAL PERMIT | BP1-0018388 | 01 | |
| TX | CSHCN | 197710006 | 01 |
| TX | 197710003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205114683 | Marnie Monika Jackson | Counselor | 4528 S Sheridan Rd, Tulsa, OK 74145-1140 | 2011-08-02 |
| Street Address |
7700 FLOYD CURL DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326049198 | Barr Baynton | Personal Emergency Response Attendant | 7700 Floyd Curl Dr, San Antonio, TX 78229-3979 | 2005-08-03 |
| 1760083943 | Charles Sampeck | Nurse Practitioner | 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 | 2020-11-04 |
| 1760083893 | Juyoung Song | Nurse Practitioner | 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 | 2020-11-04 |
| 1639784465 | Tayler Daniele Stanton | Occupational Therapist | 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 | 2020-09-09 |
| 1982216297 | Apexcare Pllc | Internal Medicine | 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 | 2020-08-18 |
| 1730700717 | Natalie Willis | Nurse Practitioner | 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 | 2020-05-01 |
| 1760003040 | Aaron Bubb | Nurse Practitioner | 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 | 2020-04-28 |
| 1629604756 | Stephanie Lopez | Nurse Practitioner | 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 | 2020-03-20 |
| 1588295174 | Steven Josias Gomez | Physician Assistant | 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 | 2020-01-31 |
| 1427688902 | Veronica Laura Rodriguez | Nurse Practitioner | 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 | 2020-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891021176 | Travis Jay Taylor | Anesthesiology | 7700 Floyd Curl Dr, San Antonio, TX 78229-9068 | 2009-10-21 |
| 1346413036 | Tunga Suresh | Anesthesiology | 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639696016 | Health and Pain Medicine Institute, P.a. | Anesthesiology | 1700 Pacific Ave Ste 260, Dallas, TX 75201-7478 | 2017-08-25 |
| 1962891192 | Dfw Anesthesia Pllc | Anesthesiology | 4416 Greenfield Dr, Richardson, TX 75082-3799 | 2015-01-12 |
| 1205149796 | Rosemary Garza Christy, Mdpa | Anesthesiology | 5527 Wenonah Dr, Dallas, TX 75209-5521 | 2010-07-26 |
| 1285947903 | Christopher A. Clarke, M.d., P.a. | Anesthesiology | 5127 Bellerive Dr, Dallas, TX 75287-7551 | 2010-07-22 |
| 1285958777 | Lisa Diane Heyden | Anesthesiology | 6621 Fannin St # Mc2-1495, Suite A300, Houston, TX 77030-2303 | 2010-03-26 |
| 1447572318 | Michael Blaine Zelisko | Anesthesiology | 6621 Fannin St # Mc1-3270, Suite A300, Houston, TX 77030-2303 | 2010-02-19 |
| 1891941001 | Catherine Peishin Seipel | Anesthesiology | 6621 Fannin St # A-3300, Houston, TX 77030-2303 | 2008-08-07 |
| 1932367588 | Cheryl A.gore, M.d., P.a. | Anesthesiology | 4307 Lafayette St, Bellaire, TX 77401-5622 | 2008-05-30 |
| 1972704872 | Amy G Proffer M. D. | Anesthesiology | 7100 W 9th Ave, Amarillo, TX 79106-1704 | 2007-05-29 |
| 1013058536 | Joseph D. King | Anesthesiology | 4821 Merlot Avenue, Suite 210, Grapevine, TX 76051 | 2007-02-08 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
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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.