Tara L Jackson (NPI# 1184979098, PAC ID# 9739333972) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1184979098 |
| PAC ID by PECOS | 9739333972 |
| Professional Enrollment ID | I20150129000815 |
| Full Name | Tara L Jackson |
| Organization Legal Name | MIDWEST TRAUMA SERVICES LLC |
| Address |
2316 E Meyer Blvd Research Medical Center Hospital Kansas City MO 64132-1136 |
| Phone Number | 8162767410 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5092733402 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2316 E Meyer Blvd, Research Medical Center Hospital, Kansas City, MO 64132-1136 | 8162767410 | MIDWEST TRAUMA SERVICES LLC |
| 6420 Prospect Ave, T207, Kansas City, MO 64132-4198 | 8162769100 | MIDWEST TRAUMA SERVICES LLC |
| Organization Legal Name | MIDWEST TRAUMA SERVICES LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel D Schaper | Orthopedic Surgery | Midwest Trauma Services LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Jon Robert Humiston | Physician Assistant | Midwest Trauma Services LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Brian Charles Kindred | Orthopedic Surgery | Midwest Trauma Services LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Cristina L Graham | Nurse Practitioner | Midwest Trauma Services LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Matthew W Bruns | Nurse Practitioner | Midwest Trauma Services LLC | 6675 Holmes Rd, Suite 400, Kansas City, MO 64131-1167 |
| Street Address |
2316 E MEYER BLVD RESEARCH MEDICAL CENTER HOSPITAL |
| City | KANSAS CITY |
| State | MO |
| Zip | 64132-1136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin W Lehr | General Surgery | Kansas City Vascular and General Surgery Group LLC | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 |
| Kyle S Harken | General Surgery | Glenarm Acute Surgical Specialists LLC | 2316 E Meyer Blvd, Research Medical Center, Kansas City, MO 64132-1136 |
| Jeffrey R Dillow | Plastic and Reconstructive Surgery | Monarch Plastic Surgery P A | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 |
| Jacqueline K Hopkins | Nurse Practitioner | Brooklyn Avenue Emergency Physicians LLC | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 |
| Alexey Glazyrin | Pathology | Irl Pathology Services Midamerica LLC | 2316 E Meyer Blvd, Forward Pathology Solutions, Kansas City, MO 64132-1136 |
| Michael Ednie | Family Medicine | Godwit Inpatient Services, LLC | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 |
| Jennifer R Wattenbarger | Nurse Practitioner | Midwest Oncology Associates LLC | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 |
| Adrienne J Rader | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 2316 E Meyer Blvd, Research Medical Center, Kansas City, MO 64132-1136 |
| Angela M French | Nurse Practitioner | Midwest Oncology Associates LLC | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 |
| Johnathan D Chilton | Neurosurgery | Research Neuroscience Institute, LLC | 2316 E Meyer Blvd, Research Medical Center, Kansas City, MO 64132-1136 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pranavkumar K Dalal | Nephrology | 6400 Prospect Ave, Suite 646, Kansas City, MO 64132-1100 | |
| Craig Steven Stramel | Chiropractic | 2340 E Meyer Blvd, Suite 232, Kansas City, MO 64132-1105 | |
| Karla L Houston-gray | Internal Medicine | Midwest Metropolitan Physicians Group LLC | 2340 E Meyer Blvd, Suite 640, Kansas City, MO 64132-1110 |
| Shadrach Smith | Internal Medicine | Encompass Medical Group Pa | 2340 E Meyer Blvd, Suite 642, Kansas City, MO 64132-1110 |
| Aaron G Ellison | Family Medicine | Midwest Metropolitan Physicians Group LLC | 2340 E Meyer Blvd, Suite 640, Kansas City, MO 64132-1110 |
| Catherine Spell | Nurse Practitioner | Encompass Medical Group Pa | 2340 E Meyer Blvd, Suite 642, Kansas City, MO 64132-1110 |
| Russell E Tackett | Urology | Russell E Tackett Md PC | 2340 E Meyer Blvd Bldg 2, Suite 440, Kansas City, MO 64132-1112 |
| Zachary A Shanitkvich | Obstetrics/gynecology | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Katherine J Lorand | Certified Nurse Midwife (cnm) | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Aubree M Remsburg | Certified Nurse Midwife (cnm) | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Find all physicians in zip 64132 | |||
| City | KANSAS CITY |
| Zip Code | 64132 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KANSAS CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tara 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.