DR. ALLEN W. JACKSON (NPI# 1083683205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083683205 |
| Entity Type | Individual |
| Full Name | DR. ALLEN W. JACKSON |
| Credential | M.D. |
| Practice Address |
10330 Meridian Ave N Suite 270 Seattle WA 98133-9451 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 2065268444 |
| Practice Fax Number | 2065260521 |
| Mailing Telephone | 2062648100 |
| Mailing Fax Number | 2062648689 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2011-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD00013779 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932151479 | Allen Thomas Jackson | Ophthalmology | 1201 S Ridgewood Ave, Daytona Beach, FL 32114-6123 | 2006-05-16 |
| 1902866965 | Allen B Jackson | Internal Medicine | 2175 Ashley Phosphate Rd, Suite D, North Charleston, SC 29406-4181 | 2006-03-24 |
| 1902281645 | Allen Jackson | Home Health | General Delivery, Grand Rapids, MI 49501-9999 | 2015-07-23 |
| 1477544955 | Allen Charles Jackson | Emergency Medicine | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2005-11-02 |
| Street Address |
10330 MERIDIAN AVE N SUITE 270 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-9451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467439 | Lisa A Conaghan | Obstetrics & Gynecology | 10330 Meridian Ave N, Ste 300, Seattle, WA 98133-9463 | 2005-06-16 |
| 1568095347 | Erin Shaw | Physical Therapy Assistant | 10330 Meridian Ave N, Seattle, WA 98133-9451 | 2020-02-19 |
| 1427544329 | Victoria Swarthout | Advanced Practice Midwife | 10330 Meridian Ave N, Seattle, WA 98133-9451 | 2018-07-03 |
| 1932607942 | David John Reinhart | Physical Therapist | 10330 Meridian Ave N, Seattle, WA 98133-9451 | 2018-01-24 |
| 1013462597 | Jessica Lynne Holloway | Physical Therapist | 10330 Meridian Ave N, Seattle, WA 98133-9451 | 2016-08-24 |
| 1578910527 | Dustin William Butler | Physical Therapist | 10330 Meridian Ave N, Ste. 380, Seattle, WA 98133-9451 | 2016-05-19 |
| 1225403777 | Sally Jane Manion | Registered Nurse | 10330 Meridian Ave N, Suite 190, Seattle, WA 98133-9451 | 2015-12-09 |
| 1245614577 | Janell Christianson | Registered Nurse | 10330 Meridian Ave N, Suite 300, Seattle, WA 98133-9451 | 2015-07-16 |
| 1205259462 | Joy Schuler | Registered Nurse | 10330 Meridian Ave N, Suite 300, Seattle, WA 98133-9451 | 2014-01-23 |
| 1700216215 | Lynsey Barker | Registered Nurse | 10330 Meridian Ave N, Suite 300, Seattle, WA 98133-9451 | 2013-11-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| 1447693361 | Jimmy Hoshang Daruwalla | Orthopaedic Surgery | 600 Broadway Ste 440, Seattle, WA 98122 | 2013-04-10 |
| 1275899635 | Andre D Shaffer | Orthopaedic Surgery | 600 Broadway Ste 340, Seattle, WA 98122 | 2012-04-10 |
| 1659664811 | Mia Smucny Hagen | Orthopaedic Surgery | 3800 Montlake Ave Ne, Seattle, WA 98195-2203 | 2011-05-20 |
| 1023245644 | Kim Richards Driftmier | Orthopaedic Surgery | 325 9th Ave N, Seattle, WA 98109-5122 | 2009-06-22 |
| 1437392479 | Jia-wei Kevin Ko | Orthopaedic Surgery | 601 Broadway 6th, Seattle, WA 98122-5330 | 2009-04-07 |
| 1104063932 | Gregory A Demopulos Md, Pllc | Orthopaedic Surgery | 1420 5th Ave Ste 2600, Seattle, WA 98101-2613 | 2009-01-15 |
| 1477748416 | Vincent Ng | Orthopaedic Surgery | 8552 20th Ave Nw, Seattle, WA 98117-3524 | 2007-09-12 |
| 1205996105 | Albert Ooguen Gee | Orthopaedic Surgery | 3850 Montlake Blvd, Room 148, B, Seattle, WA 98195-0007 | 2006-12-11 |
| 1144306952 | Nancy Jennifer Kadel | Orthopaedic Surgery | 3213 Eastlake Avenue East, Suite A, Seattle, WA 98102 | 2006-10-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.