ELEANOR C HOOTS JACKSON (NPI# 1467404343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467404343 |
| Entity Type | Individual |
| Full Name | ELEANOR C HOOTS JACKSON |
| Credential | MD |
| Practice Address |
3625 N Elm St Suite 110a Greensboro NC 27455-2604 |
| Practice Telephone | 3362824840 |
| Practice Fax Number | 3362824660 |
| Mailing Telephone | 3362824840 |
| Mailing Fax Number | 3362824660 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 38781 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010102405 | 05 | |
| NC | 8945521 | 05 | |
| NC | BCBS | 45521 | 01 |
| Street Address |
3625 N ELM ST SUITE 110A |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27455-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427008440 | Greensboro Anesthesia Physicians,pc | Anesthesiology | 3625 N Elm St, Suite 110a, Greensboro, NC 27455-2604 | 2006-05-11 |
| 1699030890 | Carolina Attention Specialists-greensboro, Pllc | Internal Medicine | 3625 N Elm St, Suite 110 A, Greensboro, NC 27455-2604 | 2012-07-12 |
| 1083897094 | Emily Houston Thompson | Pediatrics | 3625 N Elm St, Suite 110, Greensboro, NC 27455-2604 | 2007-12-12 |
| 1881625507 | Amy R Stevenson | Internal Medicine | 3625 N Elm St, Ste 110a, Greensboro, NC 27455-2604 | 2006-07-05 |
| 1154358703 | Michael A Foster | Anesthesiology | 3625 N Elm St, Suite 110a, Greensboro, NC 27455-2604 | 2006-06-27 |
| 1265483275 | Charles E. Frederick | Anesthesiology | 3625 N Elm St, Suite 110a, Greensboro, NC 27455-2604 | 2006-05-15 |
| 1093766800 | Stephen B. Schuster | Anesthesiology | 3625 N Elm St, Suite 110a, Greensboro, NC 27455-2604 | 2006-05-15 |
| 1770534794 | Robert W Lonon | Anesthesiology | 3625 N Elm St, Suite 110a, Greensboro, NC 27455-2604 | 2006-05-15 |
| 1891746822 | Donald T Shafer | Anesthesiology | 3625 N Elm St, Suite 110a, Greensboro, NC 27455-2604 | 2006-05-15 |
| 1013968049 | Alexander F Fortune | Anesthesiology | 3625 N Elm St, Suite 110a, Greensboro, NC 27455-2604 | 2006-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144677220 | Melanie Mitchell | Nurse Practitioner | 3909 N. Elm St, Suite 102, Greensboro, NC 27455 | 2016-05-19 |
| 1871723486 | Life Changes Family Services | Community/Behavioral Health | West Friendly Ave, 5415 Suite A, Greensboro, NC 27455 | 2009-07-16 |
| 1497996805 | Mark Ellis Hepler | Physician Assistant | 3625 N Elm St Ste 110a, Greensboro, NC 27455 | 2009-03-13 |
| 1629217096 | Shemena Monique Wiggins | Physical Therapist | 3823 Lawndale Dr., Loyalton of Greensboro, Greensboro, NC 27455 | 2009-02-09 |
| 1154588036 | Coley Cosmetic & Hand Surgery Center, Pa | Clinic/Center | 3820 N Elm Street, Suite 104, Greensboro, NC 27455 | 2008-05-19 |
| 1447428693 | Regina G Kujawa | Social Worker | 1904 Kello Dr, Greensboro, NC 27455 | 2008-02-11 |
| 1942322805 | Benjamin Dale Weston | Dentist | 6161-a Lake Brandt Rd, Greensboro, NC 27455 | 2007-04-04 |
| 1992857007 | Five Star Quality Care - Obx Operator, LLC | Assisted Living Facility | 3896 North Elm Street, Greensboro, NC 27455 | 2007-01-17 |
| 1043312077 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 401 Pisgah Church Rd., Greensboro, NC 27455 | 2006-09-01 |
| 1740296557 | Melanie Mcneely Boatwright | Nurse Practitioner | 3803 N. Elm St., Greensboro, NC 27455 | 2006-08-01 |
| Find all providers in zip 27455 | ||||
| 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 |
|---|---|---|---|---|
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1013237916 | Mary Jennette Judd | Anesthesiology | 600 Green Valley Rd Ste 304, Greensboro, NC 27408-7722 | 2010-06-03 |
| 1679767263 | Kaori Miyata Longphre | Anesthesiology | 705 Green Valley Road, Greensboro, NC 27408 | 2007-08-28 |
| 1538369343 | Jerry Allen Spivey Jr. | Anesthesiology | 1030 Founders Row, Greensboro, GA 30642 | 2007-07-19 |
| 1073647590 | The Heag Pain Management Center, Pa | Anesthesiology | 2800 Battleground Ave, Greensboro, NC 27408-2704 | 2007-03-15 |
| 1558394437 | Gregory Hannibal Crisp | Anesthesiology | 500 E Cornwallis Dr Ste G, Greensboro, NC 27405 | 2006-07-07 |
| 1790736775 | Gregory E. Smith | Anesthesiology | 600 Green Valley Road, Suite 304, Greensboro, NC 27408 | 2006-05-13 |
| 1427008440 | Greensboro Anesthesia Physicians,pc | Anesthesiology | 3625 N Elm St, Suite 110a, Greensboro, NC 27455-2604 | 2006-05-11 |
| 1649231283 | Curtis Donaldson Thornhill | Anesthesiology | 1040 Park Dr, Greensboro, GA 30642-3466 | 2006-03-31 |
| 1619976578 | Lori Dunn | Anesthesiology | 1023 Holts Ferry, Greensboro, GA 30642 | 2005-07-21 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27455 |
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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.