DR. GUY JACKSON (NPI# 1659722239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659722239 |
| Entity Type | Individual |
| Full Name | DR. GUY JACKSON |
| Credential | M.D. |
| Practice Address |
425 N Chapel Gate Ln Baltimore MD 21229-2430 |
| Practice Telephone | 4439964355 |
| Mailing Telephone | 4439964355 |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2016-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | D0023997 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952330409 | Guy L Jackson | Physician Assistant | 330 Brookline Ave, Boston, MA 02215-5400 | 2006-06-30 |
| Street Address |
425 N CHAPEL GATE LN |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508362609 | Total Women's Health of Baltimore,pa | Obstetrics & Gynecology | 6080 Falls Rd Ste 204, Baltimore, MD 21209 | 2018-04-05 |
| 1083077952 | Anna Jo Bodurtha Smith | Obstetrics & Gynecology | 1000 Fell St Apt 630, Baltimore, MD 21231-3560 | 2016-03-30 |
| 1023438850 | Golsa Mirmiran Yazdy | Obstetrics & Gynecology | 4940 Eastern Ave Bldg A1, Baltimore, MD 21224-2735 | 2014-04-19 |
| 1689091514 | Keila Siomara Muniz | Obstetrics & Gynecology | 4940 Eastern Ave Bldg Room3100, Baltimore, MD 21224-2735 | 2014-03-28 |
| 1467899179 | Caroline Davis Shell | Obstetrics & Gynecology | 37 Walker Ave Ste 100, Baltimore, MD 21208-4030 | 2013-06-04 |
| 1114299237 | Shoghag Lajinian | Obstetrics & Gynecology | 6604 Deancroft Rd, Baltimore, MD 21209-2713 | 2012-02-05 |
| 1285929778 | Dilip Guha-ray | Obstetrics & Gynecology | 11 Slade Ave # 61a, Baltimore, MD 21208-5299 | 2011-06-13 |
| 1861783391 | Stefanie M Rodwell | Obstetrics & Gynecology | 6565 N Charles St Ste 406, Baltimore, MD 21204-5803 | 2011-05-02 |
| 1740579150 | Kristi Renea King | Obstetrics & Gynecology | 1001 Pine Heights Ave Ste 203, Baltimore, MD 21229 | 2011-04-06 |
| 1831492974 | Aurora Payabyab Hipolito | Obstetrics & Gynecology | 6311 Frederick Road, Baltimore, MD 21228-2307 | 2010-12-13 |
| Find all providers in BALTIMORE | ||||
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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.