FREDERICK VICTOR JACKMAN (NPI# 1598974776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598974776 |
| Entity Type | Individual |
| Full Name | FREDERICK VICTOR JACKMAN |
| Credential | MD |
| Practice Address |
746 Sunny Lane Orem UT 84058 |
| Practice Telephone | 8012256368 |
| Practice Fax Number | 8012268422 |
| Mailing Telephone | 8012256368 |
| Mailing Fax Number | 8012268422 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 521407461205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
746 SUNNY LANE |
| City | OREM |
| State | UT |
| Zip Code | 84058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
| 1679042303 | Carolyn Mott Harvey | Counselor | 276 E 905 S, Orem, UT 84058 | 2018-11-26 |
| 1902371826 | Jennifer Morgan Ellefsen | Nurse Practitioner | 800 W University Pkwy # Ms 200, Orem, UT 84058 | 2018-10-07 |
| 1508340944 | Eye Pros of Orem | Optometrist | 366 E. University Parkway, Orem, UT 84058 | 2018-09-21 |
| 1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
| 1407338288 | Jecel Kevin Mendoza | Case Manager/Care Coordinator | 1109 W 1390 S, Orem, UT 84058 | 2018-08-29 |
| 1407368509 | Kaitlyn Winget | Specialist/Technologist | 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 | 2017-10-30 |
| 1871010454 | Linda S George | Behavior Technician | 1875 S Geneva Road, Orem, UT 84058 | 2017-08-24 |
| 1811435951 | Rhea V. Perry | Massage Therapist | 35 S 400 W, Orem, UT 84058 | 2017-02-09 |
| 1457735425 | John Thomas Garlock | Behavioral Analyst | 1140 W 1130 S Bld B, Orem, UT 84058 | 2015-07-19 |
| Find all providers in zip 84058 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013986157 | Lee Dupont Trotter | Surgery | 750 W 800 N Ste 330, Orem, UT 84057-3660 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699327684 | Walter S Medlin Md PC | Surgery | 1046 E 100 S Ste A, Salt Lake City, UT 84102-1520 | 2019-07-10 |
| 1770081515 | Robert Ricky Steuer | Surgery | 4157 N 900 W, Ogden, UT 84414-1009 | 2018-01-26 |
| 1184150013 | Salt Lake Surgical Services Pllc | Surgery | 1492 W Antelope Dr Ste 209, Layton, UT 84041-1158 | 2017-05-11 |
| 1912439530 | Meghan Eileen Mali | Surgery | University of Utah Hospital General Surgery, 30 N. 1900 E., Salt Lake City, UT 84132-0001 | 2017-04-02 |
| 1316483639 | Robert Jacobsen | Surgery | 1822 E 1950 N, Layton, UT 84040-2214 | 2017-01-10 |
| 1720437478 | Stephen Campbell | Surgery | 1671 E Stratford Ave, Slc, UT 84106-3668 | 2016-06-03 |
| 1740672641 | Randall Jones | Surgery | 1353 E Old Maple Ct, Murray, UT 84117-7303 | 2015-03-02 |
| 1124438924 | James Glen O'loughlin | Surgery | 30 N 1900 E Rm 3b324, Salt Lake City, UT 84132-0001 | 2014-05-01 |
| 1801138953 | Milda Shapiro | Surgery | 98 N 1100 E Ste 202, American Fork, UT 84003 | 2013-03-26 |
| 1811235500 | Karen A Tormey Md PC | Surgery | 1521 E 1800 S, Saint George, UT 84790-6761 | 2013-01-30 |
| Find all providers with the same taxonomy | ||||
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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.