MAREK JANUSZ GRZESZCZAK (NPI# 1659455053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659455053 |
| Entity Type | Individual |
| Full Name | MAREK JANUSZ GRZESZCZAK |
| Credential | M.D. |
| Practice Address |
708 W Forest Ave Jackson TN 38301-3901 |
| Mailing Address |
1804 Highway 45 Byp Suite 604 Jackson TN 38305-4436 |
| Practice Telephone | 7316608759 |
| Practice Fax Number | 7316608739 |
| Mailing Telephone | 7316608759 |
| Mailing Fax Number | 7316608739 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
31435 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
708 W FOREST AVE |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417958216 | Robert E Turner IIi | Emergency Medicine | 708 W Forest Ave, Jackson, TN 38301-3901 | 2005-08-03 |
| 1295981496 | Amber Lynn Stafford | Nurse Anesthetist, Certified Registered | 708 W Forest Ave, Jackson, TN 38301-3901 | 2008-08-07 |
| 1508020744 | Susan D Crocker | Nurse Anesthetist, Certified Registered | 708 W Forest Ave, Jackson, TN 38301 | 2008-07-16 |
| 1679736516 | Jackson Pathology Group A Professional Corporation | Pathology | 708 W Forest Ave, Jackson, TN 38301-3901 | 2008-07-09 |
| 1699954636 | Victor Go | Hospitalist | 708 W Forest Ave, Jackson, TN 38301-3901 | 2007-10-26 |
| 1811184484 | Amy Renee' Anderson | Occupational Therapist | 708 W Forest Ave, Jackson, TN 38301-3901 | 2007-09-27 |
| 1255547980 | Jackson Madison County General Hospital | Internal Medicine | 708 W Forest Ave, Jackson, TN 38301-3901 | 2007-05-16 |
| 1609082338 | Jackson Madison County General Hospital | Internal Medicine | 708 W Forest Ave, Jackson, TN 38301-3901 | 2007-05-16 |
| 1700090461 | Brian James Shaw | Pharmacist | 708 W Forest Ave, Jackson, TN 38301-3901 | 2007-05-10 |
| 1336271303 | Katherine Carr Greer | Physical Therapist | 708 W Forest Ave, Jackson, TN 38301-3901 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| 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 |
| 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 |
| 1598709503 | Craig Kenneth Hallstrom | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-16 |
| 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.