Matthew Jackson (NPI# 1821359795, PAC ID# 5395987390) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1821359795 |
| PAC ID by PECOS | 5395987390 |
| Professional Enrollment ID | I20171006000960 |
| Full Name | Matthew Jackson |
| Organization Legal Name | ST. VINCENT HOSPITAL |
| Address |
490 A W Zia Rd 100 Christus St Vincent Medical Oncologists Santa Fe NM 87505-7007 |
| Phone Number | 5059557900 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 6608775135 |
| Number of Group Practice Members | 233 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320002 | CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 490 A W Zia Rd, 100 Christus St Vincent Medical Oncologists, Santa Fe, NM 87505-7007 | 5059557900 | ST. VINCENT HOSPITAL |
| Organization Legal Name | ST. VINCENT HOSPITAL |
| Physicians | 203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc M Aueron | Cardiovascular Disease (cardiology) | St. Vincent Hospital | 2085 S Pacheco St, Santa Fe, NM 87505-6103 |
| Ann Garcia | Geriatric Medicine | St. Vincent Hospital | 465 Saint Michaels Dr, Suite 116, Santa Fe, NM 87505-7621 |
| Melinda Nicole Taylor | Nurse Practitioner | St. Vincent Hospital | 490 A W Zia Rd, 100 Christus St Vincent Medical Oncologists, Santa Fe, NM 87505-7007 |
| Nizhoni W Denipah | Otolaryngology | St. Vincent Hospital | 1620 Hospital Dr, Santa Fe, NM 87505-4754 |
| Luke Bulthuis | Orthopedic Surgery | St. Vincent Hospital | 2100 Calle De La Vuelta, Unit C103, Santa Fe, NM 87505-4817 |
| Abiola Shitta Bey | Obstetrics/gynecology | St. Vincent Hospital | 2055 S Pacheco St, Suite 300 Christus St Vincent Women's Care Specialis, Sante Fe, NM 87505-0504 |
| Heather Cumbo | Psychiatry | St. Vincent Hospital | 440 Saint Michaels Dr, Suite 250, Santa Fe, NM 87505-7602 |
| Namgyal Tsewang | Family Medicine | St. Vincent Hospital | 510 N Guadalupe St, Santa Fe, NM 87501-6510 |
| Rachel W Goodman | Obstetrics/gynecology | St. Vincent Hospital | 600 Mills Ave, Suite B, Las Vegas, NM 87701-4669 |
| Vanessa Alvarez | Critical Care (intensivists) | St. Vincent Hospital | 433 Saint Michaels Dr, Santa Fe, NM 87505-7601 |
| Street Address |
490 A W ZIA RD 100 CHRISTUS ST VINCENT MEDICAL ONCOLOGISTS |
| City | SANTA FE |
| State | NM |
| Zip | 87505-7007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melinda Nicole Taylor | Nurse Practitioner | St. Vincent Hospital | 490 A W Zia Rd, 100 Christus St Vincent Medical Oncologists, Santa Fe, NM 87505-7007 |
| Bryan W Goss | Radiation Oncology | St. Vincent Hospital | 490 A W Zia Rd, Santa Fe, NM 87505-7007 |
| Olivier Rixe | Medical Oncology | St. Vincent Hospital | 490 A W Zia Rd, 100 Christus St Vincent Medical Oncologists, Santa Fe, NM 87505-7007 |
| Andrea Teague | Hematology/oncology | St. Vincent Hospital | 490 A W Zia Rd, 100 Christus St Vincent Medical Oncologists, Santa Fe, NM 87505-7007 |
| David A Snyder | Hematology/oncology | St. Vincent Hospital | 490 A W Zia Rd, Santa Fe, NM 87505-7007 |
| Cheryl Ann Becker | Nurse Practitioner | St. Vincent Hospital | 490 A W Zia Rd, 260 Christus St. Vincent Dermatology Sp, Santa Fe, NM 87505-6996 |
| Tiffany Chichester | General Surgery | St. Vincent Hospital | 490 A W Zia Rd, 200 Christus St Vincent Breast Institute, Santa Fe, NM 87505-7007 |
| Deborah R Caswell | Nurse Practitioner | St. Vincent Hospital | 490 A W Zia Rd, 200 Christus St Vincent Breast Institute, Santa Fe, NM 87505-7007 |
| Kathryn Ruste Chan | Internal Medicine | St. Vincent Hospital | 490 A W Zia Rd, 100 Christus St Vincent Medical Oncologists, Santa Fe, NM 87505-7007 |
| Ronald Rovner | Dermatology | St. Vincent Hospital | 490 A W Zia Rd, 260 Christus St. Vincent Dermatology Sp, Santa Fe, NM 87505-6996 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Jamison | Nurse Practitioner | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
| Sanjay Bardwaj | Physical Therapy | Sf Sports Md and Rehab | 104 Old Las Vegas Hwy, Santa Fe, NM 87505 |
| Laura K Merrigan | Nurse Practitioner | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
| Nancy C Lehrhaupt | Nurse Practitioner | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
| Candace R Kenyon | Physical Therapy | Sf Sports Md and Rehab | 104 Old Las Vegas Hwy, Santa Fe, NM 87505 |
| Alyson F Yacono | Physical Therapy | Sf Sports Md and Rehab | 104 Old Las Vegas Hwy, Santa Fe, NM 87505 |
| Thomas Longley | Family Medicine | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
| Amy Jelliffe | Psychiatry | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
| Melinda M Ramirez | Physical Therapy | Sf Sports Md and Rehab | 104 Old Las Vegas Hwy, Santa Fe, NM 87505 |
| Kamasamudram Ravilochan | Neurology | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
| Find all physicians in zip 87505 | |||
| City | SANTA FE |
| Zip Code | 87505 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | SANTA FE + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Matthew 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.