JESSICA BETH JASKOLKA (NPI# 1316164155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316164155 |
| Entity Type | Individual |
| Full Name | JESSICA BETH JASKOLKA |
| Credential | M.D. |
| Practice Address |
1606 Wellington Ave Suite E Wilmington NC 28401-7747 |
| Practice Telephone | 9104521999 |
| Practice Fax Number | 9104521883 |
| Mailing Telephone | 9104521999 |
| Mailing Fax Number | 9104521883 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2014-07-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 24142 | WV | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 2008-00672 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810019099 | 05 |
| Street Address |
1606 WELLINGTON AVE SUITE E |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043274186 | Kim R Smith | Counselor | 1606 Wellington Ave, Suite C, Wilmington, NC 28401-7747 | 2006-04-14 |
| 1033564349 | Gates Psychological Services | Psychologist | 1606 Wellington Ave, Wilmington, NC 28401-7747 | 2016-04-25 |
| 1598035032 | Peter George Zack | Pediatrics | 1606 Wellington Ave, Suite E, Wilmington, NC 28401-7747 | 2011-12-30 |
| 1114256906 | Community Support Professionals,llc | Community/Behavioral Health | 1606 Wellington Ave, Unit F, Wilmington, NC 28401-7704 | 2009-12-08 |
| 1326276007 | Community Support Professionals,llc | Counselor | 1606 Wellington Ave, Unit C, Wilmington, NC 28401-7704 | 2009-07-01 |
| 1083858559 | Ashley Holland Putney | Nurse Practitioner | 1606 Wellington Ave, Suite E, Wilmington, NC 28401-7747 | 2009-04-28 |
| 1346486891 | Seaside Pediatrics | Pediatrics | 1606 Wellington Ave, Suite E, Wilmington, NC 28401-7747 | 2009-01-05 |
| 1790954741 | Roy Kenneth Vogel | Psychologist | 1606 Wellington Ave, Unit H, Wilmington, NC 28401-7747 | 2008-02-25 |
| 1093922429 | Linda Oldham Ikle | Psychologist | 1606 Wellington Ave, Unit H, Wilmington, NC 28401-7747 | 2007-05-16 |
| 1841329885 | Jeremy Seth Pepper | Physician Assistant | 1606 Wellington Ave, Suite A, Wilmington, NC 28401-7747 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324307 | Manuel Roque Sanchez Gonzales Jr. | Pediatrics | Attn: Cindy Chuidian (gme Office), 1600 Rockland Rd, Wilmington, DE 19803 | 2020-04-06 |
| 1558908822 | Margaret Prygon | Pediatrics | 2620 Majestic Dr, Wilmington, DE 19810-2438 | 2019-12-05 |
| 1811309271 | Joanna Laura Shaffer | Pediatrics | 2055 Limestone Rd Ste 300, Wilmington, DE 19808 | 2014-05-20 |
| 1962841841 | Suguna Patibanda | Pediatrics | 2719 Pickering Rd, Wilmington, DE 19808-3636 | 2013-06-24 |
| 1952643314 | H. Leon Aussprung IIi | Pediatrics | 4619 Weldin Rd, Wilmington, DE 19803-4825 | 2013-03-25 |
| 1841556891 | Rachel A Overdevest | Pediatrics | 5500 Skyline Dr Ste 4, Wilmington, DE 19808-1772 | 2012-04-04 |
| 1770851925 | Forrest Glenn Hawkins | Pediatrics | 3 Perth Dr, Wilmington, DE 19803-2612 | 2011-12-02 |
| 1881987311 | Meghan Elizabeth Dougherty | Pediatrics | 2212 S 17th St, Wilmington, NC 28401-7515 | 2011-05-17 |
| 1467787184 | Annuradha Goel | Pediatrics | 1602 Jessup Street, Wilmington, DE 19802-4210 | 2009-10-14 |
| 1205078243 | Wilmington Health Pllc | Pediatrics | 4320 Henson Dr, Wilmington, NC 28405-7424 | 2009-04-06 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.