DR. JARROD DOW KNUDSON (NPI# 1447578455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447578455 |
| Entity Type | Individual |
| Full Name | DR. JARROD DOW KNUDSON |
| Credential | M.D., PH.D. |
| Practice Address |
2500 North State Street Jackson MS 39216-4500 |
| Mailing Address |
2500 North State Street Dept of Pediatrics Jackson MS 39216-4500 |
| Practice Telephone | 6019846441 |
| Practice Fax Number | 6019846439 |
| Mailing Telephone | 6019846441 |
| Mailing Fax Number | 6019846439 |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2015-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
N5784 | TX | Allopathic & Osteopathic Physicians |
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
21900 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 157006 | 05 | |
| LA | 2406744 | 05 |
| Street Address |
2500 NORTH STATE STREET |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376549816 | John Joseph Sheehan Jr. | Internal Medicine | 2500 North State Street, Department of Medicine Division of Digestive Disease, Jackson, MS 39216-4500 | 2005-06-21 |
| 1912520370 | Janna Leigh Williams | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Dept of Emergency Medicine, Jackson, MS 39216 | 2020-05-20 |
| 1609498401 | Chin-qune Oliver Yeung Lai Wah | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Jackson, MS 39216 | 2020-05-14 |
| 1689293250 | Karine Desouza | Family Medicine | 2500 North State Street, Attn: Department of Family Medicine, Jackson, MS 39216 | 2020-04-13 |
| 1225667249 | Mallory Browning | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Jackson, MS 39216-4505 | 2020-04-02 |
| 1912490400 | Alberto Andres Arteaga | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Ummc, Department of Otolaryngology - 5 East, Jackson, MS 39216 | 2018-06-11 |
| 1003309493 | Britton Postlethwaite Beatrous | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Ummc Ent Department - 5east, Jackson, MS 39216 | 2018-06-11 |
| 1750874145 | Joseph Alexander De Gruy | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Ummc Ent Department - 5east, Jackson, MS 39216 | 2018-06-11 |
| 1689161523 | Joshua Phillip Rouhan | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Department of Emergency Medicine, Jackson, MS 39216-4505 | 2018-04-17 |
| 1336660356 | Iram Aman | Student in an Organized Health Care Education/Training Program | 2500 North State Street, Jackson, MS 39216 | 2017-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, 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. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881048395 | Josephine Stout | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2016-04-20 |
| 1336437136 | Laura Ashley Wright-sexton | Pediatrics | 2500 N State St, University of Mississippi Medical Center, Jackson, MS 39216-4500 | 2011-07-13 |
| 1043500739 | Padma P. Garg | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2011-04-14 |
| 1528276722 | Kasey Davis | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2007-05-19 |
| 1932314291 | Jennifer Ling Hong | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2007-05-11 |
| 1376696138 | Upa Pllc Critical Care | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2007-01-18 |
| 1659455053 | Marek Janusz Grzeszczak | Pediatrics | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-10-24 |
| 1174629257 | Mary B Taylor | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-09-15 |
| 1255345153 | Kathryn A. Young | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-07-28 |
| 1073559761 | Thomas Atchley Walker | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-21 |
| Find all providers in JACKSON | ||||
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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.