Leon S Jackson (NPI# 1285622175, PAC ID# 5193798585) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1285622175 |
| PAC ID by PECOS | 5193798585 |
| Professional Enrollment ID | I20050426000397 |
| Full Name | Leon S Jackson |
| Organization Legal Name | NORTHSTAR RADIOLOGY |
| Address |
1500 Ave H Ely NV 89301-2615 |
| Phone Number | 7752893001 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | RADIATION ONCOLOGY |
| Secondary Specialties | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7517284151 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 291308 | HUMBOLDT GENERAL HOSPITAL |
| 051326 | PLUMAS DISTRICT HOSPITAL |
| 291302 | WILLIAM BEE RIRIE HOSPITAL |
| 051320 | BANNER LASSEN MEDICAL CENTER |
| 291304 | PERSHING GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1500 Ave H, Ely, NV 89301-2615 | 7752893001 | NORTHSTAR RADIOLOGY |
| 500 1st Ave, Portola, CA 96122-9406 | 5308326500 | NORTHSTAR RADIOLOGY - CALIFORNIA |
| 2375 E Prater Way, Sparks, NV 89434-9641 | 7753317000 | NORTHSTAR RADIOLOGY |
| 2375 E Prater Way, Sparks, NV 89434-9641 | 7753564900 | SPARKS RADIOLOGY GROUP LTD. |
| 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 5202522000 | NORTHSTAR RADIOLOGY - CALIFORNIA |
| 118 E Haskell St, Winnemucca, NV 89445-3247 | 7756235222 | NORTHSTAR RADIOLOGY |
| Organization Legal Name | NORTHSTAR RADIOLOGY |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric L Goldberg | Diagnostic Radiology | Northstar Radiology | 1500 Ave H, Ely, NV 89301-2615 |
| Street Address |
1500 AVE H |
| City | ELY |
| State | NV |
| Zip | 89301-2615 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yun Namkung | Internal Medicine | William Bee Ririe Hospital | 1500 Ave H, Ely, NV 89301-2615 |
| David Byun | Internal Medicine | William Bee Ririe Hospital | 1500 Ave H, Ely, NV 89301-2615 |
| Robert D Owen | Emergency Medicine | William Bee Ririe Hospital | 1500 Ave H, Ely, NV 89301-2615 |
| Bruce Bray | Cardiovascular Disease (cardiology) | University of Utah Adult Services | 1500 Ave H, Ely, NV 89301-2615 |
| Mark A Rhodes | Orthopedic Surgery | William Bee Ririe Hospital | 1500 Ave H, Ely, NV 89301-2615 |
| Amy Hemsley | Nurse Practitioner | William Bee Ririe Hospital | 1500 Ave H, Ely, NV 89301-2615 |
| Tamisha Pena | Nurse Practitioner | William Bee Ririe Hospital | 1500 Ave H, Ely, NV 89301-2615 |
| Roxanne G Jones | Nurse Practitioner | William Bee Ririe Hospital | 1500 Ave H, Ely, NV 89301-2615 |
| Valerie J Miller | Internal Medicine | William Bee Ririe Hospital | 1500 Ave H, Ely, NV 89301-2615 |
| Nasir Uddin | Internal Medicine | William Bee Ririe Hospital | 1500 Ave H, Ely, NV 89301-2615 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kent M Robertson | Optometry | 1250 Great Basin Blvd, Ely, NV 89301-2096 | |
| Jeffrey B Willes | Chiropractic | Jeffrey B Willes Dc Inc | 664 14th S E, Ely, NV 89301-2569 |
| Cade Hunter Willes | Chiropractic | Jeffrey B Willes Dc Inc | 664 14th S E, Ely, NV 89301-2569 |
| Glenn G Miller | Orthopedic Surgery | William Bee Ririe Hospital | 1500 Ave H, Ely, NV 89301-2615 |
| George Norman Christensen | General Surgery | William Bee Ririe Hospital | 1500 Ave H, Ely, NV 89301-2615 |
| Amanda S Casey | Hospitalist | 1500 Ave H, Ely, NV 89301-2615 | |
| Gary M Seigel | Family Medicine | William Bee Ririe Hospital | 1500 Ave H, Ely, NV 89301-2615 |
| Andrew J Conlu | Internal Medicine | 1500 Ave H, Ely, NV 89301-2615 | |
| Denis Astarita | General Surgery | William Bee Ririe Hospital | 1500 Ave H, Ely, NV 89301-2615 |
| David C Crutchfield | Emergency Medicine | William Bee Ririe Hospital | 1500 Ave H, Ely, NV 89301-2615 |
| Find all physicians in zip 89301 | |||
| City | ELY |
| Zip Code | 89301 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | ELY + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Leon S 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.