MR. THOMAS ANDREW JACKSON (NPI# 1740649011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740649011 |
| Entity Type | Individual |
| Full Name | MR. THOMAS ANDREW JACKSON |
| Credential | CRNA |
| Practice Address |
1995 East State Street Salem Regional Medical Center Salem OH 44460 |
| Mailing Address |
6225 N State Highway 161 Northstar Anesthesia of Ohio, LLC, Suite 200 Irving TX 75038 |
| Practice Telephone | 3303321551 |
| Practice Fax Number | 3303327899 |
| Mailing Telephone | 2146870001 |
| Mailing Fax Number | 9725182100 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.396530-1 | OH | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | COA.18640-NA | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811463334 | Thomas Spencer Jackson | Dentist | 1507 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 | 2018-10-23 |
| 1255698759 | Thomas Jackson | Social Worker | 5240 Creed Dr, Summerfield, NC 27358-8284 | 2012-04-20 |
| 1851628549 | Thomas W Jackson | Dentist | 8160 Perry Hwy, Pittsburgh, PA 15237-5214 | 2009-11-17 |
| 1134380694 | Thomas Michael Jackson | Emergency Medicine | 7 Bitterroot Road, Carmen, ID 83462 | 2008-06-18 |
| 1528181666 | Thomas Burton Jackson | Psychiatry & Neurology | 41750 Rancho Las Palmas Dr Ste D2, Rancho Mirage, CA 92270-5512 | 2007-04-06 |
| 1992827398 | Thomas Jackson | Social Worker | 228 Maple St, Middlebury, VT 05753-1606 | 2007-04-04 |
| 1528117306 | Thomas Boyd Jackson | Social Worker | 5225 Baysdon Cir, Jackson Consultant Services, LLC, Indianapolis, IN 46235-6040 | 2007-01-09 |
| 1245330950 | Thomas E Jackson | Internal Medicine | 47 Maple St #205, Summit, NJ 07901 | 2006-09-23 |
| 1679590137 | Thomas W Jackson | Psychiatry & Neurology | 3010 Beard Rd., Napa, CA 94558 | 2006-07-17 |
| 1306818968 | Thomas Cozatt Jackson Jr. | Family Medicine | 470 Linden Ave, Harrodsburg, KY 40330-1871 | 2006-02-07 |
| Street Address |
1995 EAST STATE STREET SALEM REGIONAL MEDICAL CENTER |
| City | SALEM |
| State | OH |
| Zip Code | 44460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639131535 | Salem Community Hospital | General Acute Care Hospital | 1995 East State Street, Salem, OH 44460 | 2006-04-05 |
| 1326099102 | Salem Community Hospital | Skilled Nursing Facility | 1995 East State Street, Salem, OH 44460 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155257 | Action Physical Therapy and Rehabilitation, Inc | Physical Therapy Assistant | 2311 East State Street, Salem, OH 44460 | 2019-07-16 |
| 1851855563 | Jessica Michelle Adkins | Occupational Therapy Assistant | 100 Blossom Ln, Salem, OH 44460 | 2019-01-27 |
| 1699266981 | Morgan Nicole Shivers | Dentist | 2951 Oh-45, Salem, OH 44460 | 2018-05-23 |
| 1518466580 | Continental II Leasing Co., LLC | Skilled Nursing Facility | 230 Continental Drive, Salem, OH 44460 | 2018-02-06 |
| 1447759410 | Continental I Leasing Co., LLC | Skilled Nursing Facility | 250 Continental Drive, Salem, OH 44460 | 2018-02-06 |
| 1912405648 | Ascend Home Health Care LLC | Home Health | 1367 Slater Rd, Salem, OH 44460 | 2018-01-29 |
| 1225562572 | Melissa Sue Chadbourne | Occupational Therapist | 7855 Pleasant Valley Ct, Salem, OH 44460 | 2017-04-13 |
| 1104274489 | Dakota Deamicis | Specialist/Technologist | 7777 W. Middletown Rd, Salem, OH 44460 | 2016-05-27 |
| 1811312028 | Denise Repella | Speech-Language Pathologist | 1171 Hampton Pl, Salem, OH 44460 | 2014-02-25 |
| 1750702338 | Care4me Skilled, LLC | Home Health | 2400 Southeast Blvd., Suite B, Salem, OH 44460 | 2013-12-26 |
| Find all providers in zip 44460 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063961928 | Chase Bazil | Nurse Anesthetist, Certified Registered | 15 N 100 W, Salem, UT 84653-9541 | 2016-10-03 |
| 1891148094 | Stefany Mcmullen | Nurse Anesthetist, Certified Registered | 5230 Eola Dr Nw, Salem, OR 97304-3355 | 2016-07-22 |
| 1265817712 | Elizabeth Faber | Nurse Anesthetist, Certified Registered | 890 Oak Street Se, Salem, MA 97301 | 2015-07-27 |
| 1487904298 | Jerry Antony Hadlock | Nurse Anesthetist, Certified Registered | 684 E 320 S, Salem, UT 84653-8532 | 2012-09-19 |
| 1740426006 | Todd Louis Hixson | Nurse Anesthetist, Certified Registered | 630 Waldo Ave Se, Salem, OR 97302-3175 | 2008-12-16 |
| 1639168917 | Debra Lynne Skerlec-caylor | Nurse Anesthetist, Certified Registered | 2050 Allen Rd, Salem, OH 44460-1016 | 2005-10-19 |
| 1619447299 | Joshua Dodson | Nurse Anesthetist, Certified Registered | 1900 Electric Road, Salem, VA 24153 | 2018-11-27 |
| 1083125868 | Kathryn B Stewart | Nurse Anesthetist, Certified Registered | 1900 Electric Rd, Salem, VA 24153-7474 | 2017-10-19 |
| 1861921892 | Stefanie Navarro | Nurse Anesthetist, Certified Registered | 81 Highland Ave, Salem, MA 01970-2714 | 2017-06-04 |
| 1255874301 | Laura Melnick | Nurse Anesthetist, Certified Registered | 1995 E State St, Salem, OH 44460-2423 | 2016-11-22 |
| Find all providers in SALEM | ||||
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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.