Shane Jackson (NPI# 1548567571, PAC ID# 3072797265) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1548567571 |
| PAC ID by PECOS | 3072797265 |
| Professional Enrollment ID | I20110413000287 |
| Full Name | Shane Jackson |
| Address |
2844 Summit St Suite 106 Oakland CA 94609-3641 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2844 Summit St, Suite 106, Oakland, CA 94609-3641 |
| Street Address |
2844 SUMMIT ST SUITE 106 |
| City | OAKLAND |
| State | CA |
| Zip | 94609-3641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juon Kin K Fong | Orthopedic Surgery | 2844 Summit St, Suite 103, Oakland, CA 94609-3641 | |
| Richard Charles Lavigna | Podiatry | 2844 Summit St, Suite 107, Oakland, CA 94609-3641 | |
| Barry Chantrelle | Internal Medicine | Barry Chantrelle Md Inc | 2844 Summit St, Oakland, CA 94609-3641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia A Frederick | Chiropractic | 6434 Telegraph Ave, Oakland, CA 94609-1112 | |
| Douglas B Ross | Chiropractic | 6434 Telegraph Ave, Oakland, CA 94609-1112 | |
| Andrea L Long | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Richard W Burg | Chiropractic | 6330 Telegraph Ave, Oakland, CA 94609-1329 | |
| Lisa Gibson | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Dawn J Loretz | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Kathryn Rittenberg | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Nancy Kathleen Bryan | Physical Therapy | Sports and Orthopedic Specialists | 6300 Telegraph Ave, Oakland, CA 94609-1329 |
| Chelsea S Landolin | Nurse Practitioner | Bonita House, Inc. | 6333 Telegraph Ave, Suite 102, Oakland, CA 94609-1359 |
| Manton S Hurd | Nurse Practitioner | Bonita House, Inc. | 6333 Telegraph Ave, Suite 102, Oakland, CA 94609-1359 |
| Find all physicians in zip 94609 | |||
| City | OAKLAND |
| Zip Code | 94609 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | OAKLAND + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Shane 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.