DR. LAURA ELIZABETH EVANS JACKSON (NPI# 1487949400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487949400 |
| Entity Type | Individual |
| Full Name | DR. LAURA ELIZABETH EVANS JACKSON |
| Other Name | DR. LAURA ELIZABETH EVANS |
| Credential | MD |
| Practice Address |
4401 Penn Avenue Aob, Suite 5400 Pittsburgh PA 15224 |
| Practice Telephone | 4126925285 |
| Practice Fax Number | 4126927231 |
| Mailing Telephone | 4126925285 |
| Mailing Fax Number | 4126927231 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2012-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MT199566 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206060 | Laura Elizabeth Jackson | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201 | 2020-05-10 |
| 1497208987 | Laura Permelia Jackson | Specialist/Technologist | 3300 Airport Road, Southern Pines, NC 28387 | 2016-08-01 |
| 1821278177 | Laura Louise Jackson | Pharmacist | 10 Jason Ln, Wheelersburg, OH 45694-8463 | 2007-11-04 |
| 1447724604 | Laura Jackson | Case Manager/Care Coordinator | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2019-01-21 |
| 1619461886 | Laura Beth Jackson | Behavior Technician | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2018-06-20 |
| 1457844110 | Laura M Jackson | Speech-Language Pathologist | 7090 Covenant Woods Dr, Mechanicsville, VA 23111-7025 | 2018-06-07 |
| 1902319692 | Laura Elizabeth Jackson | Speech-Language Pathologist | 6502 Slide Rd Ste 204, Lubbock, TX 79424-1311 | 2017-11-16 |
| 1639699465 | Laura Ashlyn Broome Jackson | Pharmacist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2017-06-22 |
| 1013443589 | Laura L Jackson | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2017-05-03 |
| 1134677057 | Laura Jackson | Counselor | 900 Hendersonville Rd, Suite 300, Asheville, NC 28803-1734 | 2016-09-20 |
| Street Address |
4401 PENN AVENUE, AOB, SUITE 5400 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618289 | Jessica Reyes Angel | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Children's Hospital of Pittsburgh, Pittsburgh, PA 15224 | 2018-11-21 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| 1649750951 | Mario Castro Medina | Transplant Surgery | Upmc Childrens Hospital of Pittsburgh, 4401 Penn Avenue Faculty Pavillion 5th Floor, Pittsburgh, PA 15224 | 2018-08-16 |
| 1245745785 | Ericka Blake Lias | Pediatrics | Children's Hospital of Pittsburgh of Upmc, 4401 Penn Ave, Pittsburgh, PA 15224 | 2017-12-06 |
| 1316463904 | Olivia Graham | Speech-Language Pathologist | 4414 Woolslayer Way, Pittsburgh, PA 15224 | 2017-08-16 |
| 1821525437 | Megan Eileen Gunsaulus | Pediatrics | Upmc Pittsburgh One Childrens Hospital Drive, 4401 Penn Avenue 5th Floor Faculty Pavillion, Pittsburgh, PA 15224 | 2017-05-12 |
| 1336593771 | Matthew Shao-lin Wong | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Suite 3300, Pittsburgh, PA 15224 | 2016-04-22 |
| 1295110427 | Chananya Karunasumetta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4101 Penn Avenue, 5th Fl. Faculty Pavilion, Pittsburgh, PA 15224 | 2015-07-29 |
| 1518348705 | Montserrat Antonieta Corbera-hincapie | Pediatrics | Rangos Research Center, 4401 Penn Avenue, 7th Floor Children's Hospital of Pitt, Pittsburgh, PA 15224 | 2015-06-12 |
| 1497136782 | Christopher Thomas Stem | Pediatrics | Division of Pediatric Emergency Medicine, Children's Ho, 4401 Penn Avenue, Aob 2nd Floor Suite 2400, Pittsburgh, PA 15224 | 2015-06-12 |
| Find all providers in zip 15224 | ||||
| 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 |
|---|---|---|---|---|
| 1548809494 | Childen's Community Care | Pediatrics | 1811 Boulevard of The Allies Ste 200, Pittsburgh, PA 15219-5964 | 2019-12-24 |
| 1609348127 | Crystal Lee Broley | Pediatrics | 3911 Saw Mill Run Blvd, Pittsburgh, PA 15227 | 2018-12-21 |
| 1568981645 | Childen's Community Care | Pediatrics | 363 Vanadium Rd Ste 104, Pittsburgh, PA 15243-1477 | 2017-09-11 |
| 1588184345 | Alan Blitstein | Pediatrics | 6500 Darlington Rd, Pittsburgh, PA 15217-1840 | 2017-06-22 |
| 1821525437 | Megan Eileen Gunsaulus | Pediatrics | Upmc Pittsburgh One Childrens Hospital Drive, 4401 Penn Avenue 5th Floor Faculty Pavillion, Pittsburgh, PA 15224 | 2017-05-12 |
| 1720430994 | Jeanne Marie Hanchett | Pediatrics | 220 N. Bellefield Avenue, #504, Pittsburgh, PA 15213-1467 | 2016-07-12 |
| 1144677519 | Joanne Duara | Pediatrics | Magee-womens Hospital of Upmc, Magee Medical Building, 303 Halket Street, 2nd Floor, Pittsburgh, PA 15213-3180 | 2016-05-16 |
| 1346602612 | Lisa Stefano | Pediatrics | 810 Clairton Blvd., Suite 100, Pittsburgh, PA 15236-4519 | 2016-03-24 |
| 1518348705 | Montserrat Antonieta Corbera-hincapie | Pediatrics | Rangos Research Center, 4401 Penn Avenue, 7th Floor Children's Hospital of Pitt, Pittsburgh, PA 15224 | 2015-06-12 |
| 1497136782 | Christopher Thomas Stem | Pediatrics | Division of Pediatric Emergency Medicine, Children's Ho, 4401 Penn Avenue, Aob 2nd Floor Suite 2400, Pittsburgh, PA 15224 | 2015-06-12 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15224 |
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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.