MARIANNE JACKSON (NPI# 1184626012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184626012 |
| Entity Type | Individual |
| Full Name | MARIANNE JACKSON |
| Credential | DO |
| Practice Address |
133 Pleasant St Berlin NH 03570-2006 |
| Practice Telephone | 6037522040 |
| Practice Fax Number | 6037527797 |
| Mailing Telephone | 6037522040 |
| Mailing Fax Number | 6037527797 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 6864 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | POOO91565 | 01 | |
| NH | ANTHEM BC/BS | 0100920Y0NH02 | 01 |
| NH | 30203596 | 05 | |
| AETNA GROUP | 5830418 | 01 | |
| FEDERAL DEA# | MD0574536 | 01 | |
| NH | CIGNA HEALTHCARE | 6236954 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013386374 | Marianne Jackson | Registered Nurse | 1613 Stonefield St, Las Vegas, NV 89144-5405 | 2015-09-16 |
| 1184832396 | Marianne Jackson | Psychologist | 60 Plaza St E Apt 1k, Brooklyn, NY 11238-5033 | 2007-05-19 |
| 1841623790 | Marianne Louise Jackson | Psychologist | 4910 N Chestnut Ave, Fresno, CA 93726-1852 | 2013-08-14 |
| Street Address |
133 PLEASANT ST |
| City | BERLIN |
| State | NH |
| Zip Code | 03570-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403238 | Jeanne D Charest | Nurse Practitioner | 133 Pleasant St, Berlin, NH 03570-2006 | 2005-08-09 |
| 1770199150 | Heather Lee Beaudry | Registered Nurse | 133 Pleasant St, Berlin, NH 03570-2006 | 2020-09-21 |
| 1487126181 | Pamela Woodburn Comeau | Nurse Practitioner | 133 Pleasant St, Berlin, NH 03570 | 2018-12-19 |
| 1588105886 | Krista Potvin | Physician Assistant | 133 Pleasant St, Berlin, NH 03570-2006 | 2017-03-20 |
| 1316319718 | Ali Basha Shaik | Dentist | 133 Pleasant St, Berlin, NH 03570-2006 | 2015-10-24 |
| 1366859274 | Michael Creppy | Family Medicine | 133 Pleasant St, Berlin, NH 03570 | 2014-07-14 |
| 1245662535 | Amy Lucas | Physician Assistant | 133 Pleasant St, Berlin, NH 03570-2006 | 2013-08-08 |
| 1336448414 | Holly B Ramsey | Physician Assistant | 133 Pleasant St, Berlin, NH 03570-2006 | 2011-03-15 |
| 1326204769 | Elaine Margaret Chappell | Family Medicine | 133 Pleasant St, Berlin, NH 03570-2006 | 2008-08-05 |
| 1508027384 | Nicole Eastman | Dietitian, Registered | 133 Pleasant St, Berlin, NH 03570-2006 | 2008-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351991 | Debra Chen | Psychologist | 1 Success Loop Road, Berlin, NH 03570 | 2019-11-26 |
| 1669826780 | Tri County Community Action Program | Case Management | 30 Exchange St, Berlin, NH 03570 | 2016-04-14 |
| 1952789265 | Brianne Teaboldt | Family Medicine | 133 Pleasant St Unit 2, Berlin, NH 03570 | 2015-05-07 |
| 1932435286 | Kristy May Nadeau | Nutritionist | 457 Forbush Avenue, Berlin, NH 03570 | 2009-10-21 |
| 1477737195 | Gayle M Theberge | Student in an Organized Health Care Education/Training Program | 3 Twelfth Street, Berlin, NH 03570 | 2007-12-18 |
| 1003019837 | Coos County Family Health Services | Dentist | 73 Main Street, Berlin, NH 03570 | 2007-06-08 |
| 1598824658 | Saadat U Khan Md Pa | Internal Medicine | 213 High St, Saadat U Khan Md Prof Assn, Berlin, NH 03570 | 2006-12-06 |
| 1508956327 | Judy Marie E Buteau | Social Worker | 292 Pleasant Street, Berlin, NH 03570 | 2006-10-13 |
| 1538254024 | Laurel J Pulsifer | Optometrist | 820 Main Street, Berlin, NH 03570 | 2006-10-03 |
| 1760592778 | William D Foord | Ophthalmology | 60 Pleasant St, Berlin, NH 03570 | 2006-08-30 |
| Find all providers in zip 03570 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477829968 | John Robert Bower | Obstetrics & Gynecology | 31 N Pintail Dr, Berlin, MD 21811-1736 | 2012-03-28 |
| 1376559500 | Christine Neto | Obstetrics & Gynecology | 1107 Racetrack Road, Berlin, MD 21811 | 2006-07-31 |
| 1225051766 | Stephen J Woodruff | Obstetrics & Gynecology | 22 Eastview Lane, Berlin, VT 05641-5317 | 2006-07-25 |
| 1851327001 | Liezl G. Irisari | Obstetrics & Gynecology | 11107 Racetrack Rd, Berlin, MD 21811-3279 | 2006-06-22 |
| 1124414271 | Rachel Long | Obstetrics & Gynecology | 130 Fisher Rd Ste 1-4, Berlin, VT 05602-9000 | 2015-04-15 |
| 1477864114 | Priyanka Singh | Obstetrics & Gynecology | 130 Fisher Rd Ste 1-4, Cvmc Women's Health, Berlin, VT 05602-9000 | 2010-06-28 |
| 1396954871 | Julie A Vogel | Obstetrics & Gynecology | 130 Fisher Rd, Suite 1-4, Berlin, VT 05602-9516 | 2007-05-22 |
| 1437200565 | Stephen A Kull | Obstetrics & Gynecology | 7 Page Hill Rd, Berlin, NH 03570-3531 | 2007-01-16 |
| 1194817759 | Krzysztof Plociennik | Obstetrics & Gynecology | 7 Page Hill Rd, Berlin, NH 03570-3531 | 2006-09-29 |
| 1528089307 | Roger E Ehret | Obstetrics & Gynecology | 130 Fisher Rd, Mob-a Suite 1-4, Berlin, VT 05602-9516 | 2006-07-21 |
| Find all providers in BERLIN | ||||
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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.