JEFFREY S JACKEL (NPI# 1215915327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215915327 |
| Entity Type | Individual |
| Full Name | JEFFREY S JACKEL |
| Credential | MD |
| Practice Address |
639 Granite St Ste 215 Braintree MA 02184-5371 |
| Practice Telephone | 7818175383 |
| Mailing Telephone | 7818175383 |
| Mailing Fax Number | 7818176177 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2020-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 51193 | MA | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
51193 | MA | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
51193 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3001253 | 05 |
| Street Address |
639 GRANITE ST STE 215 |
| City | BRAINTREE |
| State | MA |
| Zip Code | 02184-5371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861823783 | Blue Hill Pain Care Pllc | Pain Medicine | 639 Granite St Ste 215, Braintree, MA 02184-5371 | 2013-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342234 | Albert Jusu | Counselor | Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 | 2020-10-05 |
| 1356952378 | Samantha Taylor O'malley | Student in an Organized Health Care Education/Training Program | 639 Granite Street, N/a, Brainetree, MA 02184 | 2020-08-13 |
| 1184104499 | Andrea Boudreau | Social Worker | Coastal Dcf, 220 R Forbes Road, Braintree, MA 02184 | 2018-08-16 |
| 1144747221 | Mina Schafft Dmd Pllc | Dentist | 321 Washington Street, Unit 101, Westwood, MA 02184 | 2017-08-29 |
| 1922520592 | Samson Michel | Counselor | 400 Washington St. Suite 106, Braintree, MA 02184 | 2017-07-14 |
| 1760912653 | Shannon R Harvey | Behavioral Analyst | 501 Commerce Dr 4207, Braintree, MA 02184 | 2017-06-14 |
| 1275074429 | Colleen Dalton | Behavioral Analyst | 32 Powder Hill Dr, Braintree, MA 02184 | 2017-03-20 |
| 1295273266 | Jessica Morris | Occupational Therapist | 16 Kensington Street, Braintree, MA 02184 | 2017-02-09 |
| 1568834562 | Lisa Morrill | Counselor | 400 Washington St Ste 106, Braintree, MA 02184 | 2015-10-29 |
| 1831560382 | Dr Dental of Braintree PC | Dentist | 284 Grove St, Braintree, MA 02184 | 2015-10-09 |
| Find all providers in zip 02184 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053803478 | Allen Wang | Anesthesiology | 25 Jan Karski Way Apt D510, Boston, MA 02125-2776 | 2018-06-01 |
| 1295223683 | Jonathan Erdman | Anesthesiology | 55 Fruit Street Grb444, Boston, MA 02114-5502 | 2018-05-01 |
| 1578078366 | Anesthesia Svcs of Middleton | Anesthesiology | 175 Lake St, Middleton, MA 01949-2023 | 2017-12-04 |
| 1619498524 | Jamie Aaron Belo | Anesthesiology | 736 Cambridge St St. Elizabeth's Medical Center, Brighton, MA 02135 | 2017-06-30 |
| 1427578038 | Claudia Santamaria | Anesthesiology | 330 Brookline Ave # Es217, Boston, MA 02215-5400 | 2017-06-23 |
| 1053846600 | Kumar Reddy Seelam Ritesh | Anesthesiology | 736 Cambridge St Unit B1, Brighton, MA 02135-2907 | 2017-04-20 |
| 1689106700 | Michelle Dyrholm | Anesthesiology | Massachusetts General Hospital, Dept of Anesthesia, 55 Fruit Street, Gray-bigelow 444, Boston, MA 02144 | 2017-03-29 |
| 1639610843 | Nicholas Flores-conner | Anesthesiology | 750 Albany St # 2r, Boston, MA 02118-2520 | 2017-03-20 |
| 1871036020 | Medical Circle of America Pllc | Anesthesiology | 59 N Quinsigamond Ave, Shrewsbury, MA 01545-5143 | 2016-11-21 |
| 1609225127 | Janna Taylor | Anesthesiology | 330 Brookline Ave # Rabb239, Beth Israel Deaconess Medical Center, Boston, MA 02215-5400 | 2016-06-06 |
| Find all providers with the same taxonomy | ||||
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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.