WILLIAM DANIEL JACKSON


Address: 100 Mario Capecchi Dr, Suite 2650, Salt Lake City, UT 84113-1103
Phone: 8015812121

WILLIAM DANIEL JACKSON (NPI# 1417036088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417036088
Entity Type Individual
Full Name WILLIAM DANIEL JACKSON
Credential M.D.
Practice Address 100 Mario Capecchi Dr
Suite 2650
Salt Lake City
UT 84113-1103
Mailing Address Po Box 581100
Salt Lake City
UT 84158-1100
Practice Telephone 8015812121
Mailing Telephone 8012133800
Enumeration Date 2006-11-03
Last Update Date 2012-12-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
180909-1205 UT Allopathic & Osteopathic Physicians

Other Providers WILLIAM JACKSON

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1376901603 William Jackson Case Manager/Care Coordinator 1001 W Broadway Ste B, Farmington, NM 87401-5638 2016-02-01
1104237338 William Jackson Surgery 101 S Ravenel St Ste 230, Florence, SC 29506-2624 2014-05-09
1851646129 William Jackson Specialist 5 Shorewood Ln, Centerport, NY 11721-1731 2012-07-23
1083904502 William Materson Jackson Registered Nurse 1730 Brunswick Dr, Blacksburg, VA 24060-1988 2011-04-18
1912231721 William Roland Jackson Counselor 2772 S. Mlk Blvd., Fresno, CA 93706-5345 2009-09-25
1427290667 William E Jackson Physician Assistant 9261 E Northview Ct, Tucson, AZ 85749-9792 2009-04-02
1487846366 William Bradley Jackson Physical Therapy Assistant 176 Division St, Great Barrington, MA 01230-1179 2007-08-14
1316144215 William Lorenzo Jackson Internal Medicine 300 Rodgers Blvd, Terminal Box Unit-67, Honolulu, HI 96819-1890 2007-07-02
1366585226 William Spencer Jackson Counselor 880 W 12th St, Reno, NV 89503-2601 2007-02-14
1417006594 William Kenneth Jackson Dentist 11411 N Central Expy Ste K, Dallas, TX 75243-6606 2007-01-09

Office Location

Street Address 100 MARIO CAPECCHI DR
SUITE 2650
City SALT LAKE CITY
State UT
Zip Code 84113-1103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033111810 Andrew Gerald Smith Legal Medicine 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2005-08-11
1235535485 Ihc Health Services Inc Clinic/Center 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-11-17
1508262833 Aimee Brierley Occupational Therapist 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-11-13
1801290986 Jeffery Zobell Pharmacist 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-10-17
1336542778 Bevan Jensen Pharmacist 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-09-30
1699183152 Kristina Rogers Dentist 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-07-29
1548677297 Stephanie Eva Wisniewski Speech-Language Pathologist 100 Mario Capecchi Dr, Primary Children's Rehab, Salt Lake City, UT 84113-1103 2014-07-15
1184044877 Adam Wesley Dell Pediatrics 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-04-21
1225456718 Bhanu Muniyappa Pediatrics 100 Mario Capecchi Dr, Pediatrics Residency Program, Salt Lake City, UT 84113-1103 2014-04-01
1265850952 Kristina Gulliver Pediatrics 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-03-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386111060 Melissa Marie Dixon Psychologist Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 2018-10-31
1366965618 Ashley Stuart Psychologist 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 2017-07-19
1487945135 Justin C Wheeler Pediatrics 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 2011-04-29
1154612117 Dana Boucek Pediatrics 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 2011-04-26
1285959502 Anna Katherine Eyre Ermarth Pediatrics 81 Mario Capecchi, Salt Lake City, UT 84113 2010-03-30
1457682072 Elizabeth K Cho Nurse Practitioner 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 2010-01-21
1528290848 Nancy Crandell Brown Nurse Practitioner 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 2009-08-20
1679708481 Primary Children's Medical Center General Acute Care Hospital 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 2009-05-22
1467697235 Tara Hook Physical Therapist 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 2008-12-09
1144474768 Jennifer K Workman Pediatrics 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 2008-11-10
Find all providers in zip 84113

Taxonomy Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487945135 Justin C Wheeler Pediatrics 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 2011-04-29
1285959502 Anna Katherine Eyre Ermarth Pediatrics 81 Mario Capecchi, Salt Lake City, UT 84113 2010-03-30
1407210545 University of Utah Pediatric Services Pediatrics 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 2016-04-05
1831340231 Raza Ali Patel Pediatrics 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 2008-10-02
1033298609 Linda S Book Pediatrics 100 N Medical Dr, Salt Lake City, UT 84113-1103 2006-11-03
1023117843 Steven Shi-fong Wu Pediatrics 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2006-09-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245369693 Pediatric Gastroenterology and Nutrition, Inc. Pediatrics 5770 S 250 E Ste 330, Murray, UT 84107-8104 2007-03-03
1811992928 Janet K Harnsberger Pediatrics 5770 S 250 E, Ste 330, Murray, UT 84107-8104 2005-06-15
1346595188 Cottonwood Pediatric Gastroenterology Pediatrics 5770 S 250 E, Ste330, Murray, UT 84107-8100 2012-07-18
1275566291 Rajiv J Kaddu Pediatrics 1380 E Medical Center Dr, Suite 3100, St George, UT 84790-2123 2006-07-10

Competitor

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City SALT LAKE CITY
Zip Code 84113

Improve Information

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Dataset Information

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.

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