WILLIAM JACKSON (NPI# 1700959772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700959772 |
| Entity Type | Individual |
| Full Name | WILLIAM JACKSON |
| Credential | MD |
| Practice Address |
2202 S Cedar St Ste 200 Tacoma WA 98405-2318 |
| Mailing Address |
3402 S 18th St Tacoma WA 98405-1903 |
| Practice Telephone | 2533830505 |
| Practice Fax Number | 2533830730 |
| Mailing Telephone | 2533830505 |
| Mailing Fax Number | 2533830730 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
00011126 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR AND INDUSTRIES TRA | 146967 | 01 |
| WA | RR MEDICARE TRA | 300022171 | 01 |
| WA | REGENCE BLUE SHIELD UNION AVE OPEN | JA7252 | 01 |
| WA | REGENCE BLUE SHIELD TRA | JA1701 | 01 |
| WA | LABOR AND INDUSTRIES UNION AVENUE OPEN | 119262 | 01 |
| WA | 8210403 | 05 | |
| WA | MEDICARE PIN KING COUNTY | AB35536 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376901603 | William Jackson | Case Manager/Care Coordinator | 1001 W Broadway Ste B, Farmington, NM 87401-5638 | 2016-02-01 |
| 1104237338 | William Jackson | Surgery | 101 S Ravenel St Ste 230, Florence, SC 29506-2624 | 2014-05-09 |
| 1851646129 | William Jackson | Specialist | 5 Shorewood Ln, Centerport, NY 11721-1731 | 2012-07-23 |
| 1083904502 | William Materson Jackson | Registered Nurse | 1730 Brunswick Dr, Blacksburg, VA 24060-1988 | 2011-04-18 |
| 1912231721 | William Roland Jackson | Counselor | 2772 S. Mlk Blvd., Fresno, CA 93706-5345 | 2009-09-25 |
| 1427290667 | William E Jackson | Physician Assistant | 9261 E Northview Ct, Tucson, AZ 85749-9792 | 2009-04-02 |
| 1487846366 | William Bradley Jackson | Physical Therapy Assistant | 176 Division St, Great Barrington, MA 01230-1179 | 2007-08-14 |
| 1316144215 | William Lorenzo Jackson | Internal Medicine | 300 Rodgers Blvd, Terminal Box Unit-67, Honolulu, HI 96819-1890 | 2007-07-02 |
| 1366585226 | William Spencer Jackson | Counselor | 880 W 12th St, Reno, NV 89503-2601 | 2007-02-14 |
| 1417006594 | William Kenneth Jackson | Dentist | 11411 N Central Expy Ste K, Dallas, TX 75243-6606 | 2007-01-09 |
| Street Address |
2202 S CEDAR ST STE 200 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-2318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881767606 | Randolph Otto | Radiology | 2202 S Cedar St Ste 200, Tacoma, WA 98405-2318 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164435863 | Sam S Liu | Radiology | 1304 Fawcett Avenue, Suite 200, Tacoma, WA 98402-1911 | 2006-08-14 |
| 1336352335 | Edmund H Wong | Radiology | 1304 Fawcett Ave, Suite 200, Tacoma, WA 98402-1911 | 2007-05-07 |
| 1275698219 | Alan Yuk Lan Mui | Radiology | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2006-12-27 |
| 1093888091 | Phillip C. Lesh | Radiology | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | 2006-11-16 |
| 1417033051 | Jason Sanford Jacob | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 | 2006-10-27 |
| 1780779892 | Jeffrey Pai-chin Lin | Radiology | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235573098 | Jeffrey P Guzelian | Radiology | 1221 Madison St Ste 150, Seattle, WA 98104-1377 | 2013-04-24 |
| 1174671192 | Robert E Coleman | Radiology | 10th and Tacoma, Sunnyside, WA 98944-3022 | 2007-01-08 |
| 1134182157 | Phillip Wayne Curtis | Radiology | 22718 E Red Feather Ln, Liberty Lake, WA 99019-8704 | 2006-04-10 |
| 1720041031 | Edwin R Holmes IIi | Radiology | 1314 S Grand Blvd Ste 2-315, Spokane, WA 99202-1174 | 2006-04-08 |
| 1609404243 | Laith Emad Abandeh | Radiology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-03-30 |
| 1164974382 | Hebatallah Fouad Said | Radiology | 1959 Ne Pacific St, Seattle, WA 98195-3328 | 2016-11-04 |
| 1659729564 | Shakunthala Revannagowda | Radiology | 1959 Ne Pacific St, Seattle, WA 98195-3901 | 2016-06-01 |
| 1366633877 | Antoine Leblond | Radiology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-08-08 |
| 1073676367 | Isabelle C Fair | Radiology | 1221 Madison St, Ste 520, Seattle, WA 98104-3588 | 2006-12-18 |
| 1740369644 | David Sw Djang | Radiology | 1229 Madison Street, Suite 1150, Seattle, WA 98104-3587 | 2006-11-03 |
| 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.