Anna L Jackson (NPI# 1295183770, PAC ID# 1456647361) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1295183770 |
| PAC ID by PECOS | 1456647361 |
| Professional Enrollment ID | I20160901000171 |
| Full Name | Anna L Jackson |
| Organization Legal Name | NEUROSURGERY ONE PC |
| Address |
7780 S Broadway Suite 350 Littleton CO 80122-2641 |
| Phone Number | 3037348650 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8022269612 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060015 | CENTURA HEALTH-ST ANTHONY HOSPITAL |
| 060104 | CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS |
| 060103 | CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7780 S Broadway, Suite 350, Littleton, CO 80122-2641 | 3037348650 | NEUROSURGERY ONE PC |
| Organization Legal Name | NEUROSURGERY ONE PC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Dale Boone | Neurosurgery | Neurosurgery One PC | 7780 S Broadway, Suite 350, Littleton, CO 80122-2641 |
| Jamie M Henry | Nurse Practitioner | Neurosurgery One PC | 7780 S Broadway, Suite 350, Littleton, CO 80122-2641 |
| John Lawrence Hudson | Neurosurgery | Neurosurgery One PC | 7780 S Broadway, Suite 350, Littleton, CO 80122-2641 |
| John A Prall | Neurosurgery | Neurosurgery One PC | 7700 S Broadway, Littleton Adventist Hospital, Littleton, CO 80122-2602 |
| Kelly L Mowrey | Nurse Practitioner | Neurosurgery One PC | 7780 S Broadway, Suite 350, Littleton, CO 80122-2641 |
| Jason M Peragine | Physical Medicine and Rehabilitation | Neurosurgery One PC | 7780 S Broadway, Suite 350, Littleton, CO 80122-2641 |
| Patricia A Freeman | Physician Assistant | Neurosurgery One PC | 7700 S Broadway, Littleton Adventist Hospital, Littleton, CO 80122-2602 |
| Kofi Kessey | Neurosurgery | Neurosurgery One PC | 7780 S Broadway, Suite 350, Littleton, CO 80122-2641 |
| Michael James Macleod Coyle | Physician Assistant | Neurosurgery One PC | 7780 S Broadway, Suite 350, Littleton, CO 80122-2641 |
| Erasmus G Morfe | Physical Medicine and Rehabilitation | Neurosurgery One PC | 7780 S Broadway, Suite 350, Littleton, CO 80122-2641 |
| Street Address |
7780 S BROADWAY SUITE 350 |
| City | LITTLETON |
| State | CO |
| Zip | 80122-2641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa James | Physician Assistant | Healthone Clinic Services-surgical Specialties LLC | 7780 S Broadway, Suite 300, Littleton, CO 80122-2633 |
| Suzanne B Weber | Obstetrics/gynecology | Portercare Adventist Health System | 7780 S Broadway, Littleton, CO 80122-2633 |
| Deirdre M Marchetti | Nurse Practitioner | Portercare Adventist Health System | 7780 S Broadway, Littleton, CO 80122-2633 |
| Chandra Hodgman | Physician Assistant | Portercare Adventist Health System | 7780 S Broadway, Littleton, CO 80122-2633 |
| Daniel Nicholas Bracey | Orthopedic Surgery | Portercare Adventist Health System | 7780 S Broadway, Littleton, CO 80122-2633 |
| Erin Colleen Erickson | Physician Assistant | Portercare Adventist Health System | 7780 S Broadway, Littleton, CO 80122-2633 |
| Katherine Dawn Mcdonald | Obstetrics/gynecology | Portercare Adventist Health System | 7780 S Broadway, Littleton, CO 80122-2633 |
| Paul Dale Boone | Neurosurgery | Neurosurgery One PC | 7780 S Broadway, Suite 350, Littleton, CO 80122-2641 |
| Stephanie R Traver | Nurse Practitioner | Portercare Adventist Health System | 7780 S Broadway, Littleton, CO 80122-2633 |
| Jamie M Henry | Nurse Practitioner | Neurosurgery One PC | 7780 S Broadway, Suite 350, Littleton, CO 80122-2641 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Louise Fussnecker | Physician Assistant | Rocky Mountain Physicians Group, PC | 2241 E Arapahoe Rd, Metro Urgent Care, Centennial, CO 80122-1505 |
| Matthew Abraham Dhieux | Physician Assistant | Rocky Mountain Physicians Group, PC | 2241 E Arapahoe Rd, Metro Urgent Care, Centennial, CO 80122-1505 |
| Tyler Jay Pollock | Physical Therapy | Denver Physical Therapy, P.C. | 6840 S University Blvd, Suite 400, Centennial, CO 80122-1510 |
| Derrick Lynn Leeper | Physical Therapy | Denver Physical Therapy, P.C. | 6840 S University Blvd, Suite 400, Centennial, CO 80122-1510 |
| Tyler J Ready | Physical Therapy | Denver Physical Therapy, P.C. | 6840 S University Blvd, Suite 400, Centennial, CO 80122-1510 |
| Kelsey Latham | Chiropractic | 6884 S University Blvd, Mcwc, Centennial, CO 80122-1515 | |
| Kelly T Vu | Optometry | 7001 S University Blvd, Sears Optical Southglenn Mall, Centennial, CO 80122-1518 | |
| Andrzej Lazarski | Physical Therapy | 2305 E Arapahoe Rd, Suite 125, Centennial, CO 80122-1535 | |
| Mark P Knippenberg | Clinical Social Worker | 2305 E Arapahoe Rd, Suite 218, Centennial, CO 80122-1538 | |
| Sandra M Labella | Physical Therapy | 2305 E Arapahoe Rd, Suite 227, Centennial, CO 80122-1538 | |
| Find all physicians in zip 80122 | |||
| City | LITTLETON |
| Zip Code | 80122 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LITTLETON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Anna L Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.