WILLIAM G JACKSON, M.D., LLC (NPI# 1821141219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821141219 |
| Entity Type | Organization |
| Organization Name | WILLIAM G JACKSON, M.D., LLC |
| Practice Address |
46 Toll Rd Unit B Salisbury MA 01952-1435 |
| Practice Telephone | 9784623009 |
| Practice Fax Number | 9784620177 |
| Mailing Telephone | 9784623009 |
| Mailing Fax Number | 9784620177 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2013-03-31 |
| Authorized Official Name | DR. WILLIAM G. JACKSON (OWNER) |
| Authorized Official Telephone | 9784623009 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
57551 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30213523 | 05 | |
| MA | BCBS | M18969 | 01 |
| MA | 9751301 | 05 |
| Street Address |
46 TOLL RD UNIT B |
| City | SALISBURY |
| State | MA |
| Zip Code | 01952-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598792004 | Gavin Cregg Little | Internal Medicine | 46 Toll Rd, Suite C, Salisbury, MA 01952-1435 | 2006-06-28 |
| 1326487125 | Shane David Murray | Nurse Practitioner | 46 Toll Rd, Salisbury, MA 01952-1435 | 2013-06-14 |
| 1558404665 | Jocelyn Duff | Physician Assistant | 46 Toll Rd, Unit B, Salisbury, MA 01952-1435 | 2007-02-15 |
| 1003843590 | William Grover Jackson | Internal Medicine | 46 Toll Rd, Unit B, Salisbury, MA 01952-1435 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669869020 | Samantha Rose Menard | Behavioral Analyst | 23 Main St, Salisbury, MA 01952-1206 | 2015-04-22 |
| 1770641516 | Maureen S Colombino | Social Worker | 15 Main Street, Unit 204, Salisbury, MA 01952-1240 | 2006-12-05 |
| 1033516851 | Katie Y. Calabrese | Registered Nurse | 5 Joy Rd, Salisbury, MA 01952-1318 | 2014-11-21 |
| 1063056612 | Courtney W Hutchinson | Social Worker | 10 Jak Len Dr, Salisbury, MA 01952-1432 | 2019-11-06 |
| 1407977309 | Gavin C. Little, D.o., LLC | Internal Medicine | 46 Toll Rd Ste C, Salisbury, MA 01952-1435 | 2007-04-02 |
| 1336188325 | Philippe J Sioufi | Psychiatry & Neurology | 63 Forest Rd, Salisbury, MA 01952-1603 | 2006-06-05 |
| 1053345116 | Matthew Adam Lipson | Social Worker | 102 Forest Rd, Salisbury, MA 01952-1604 | 2006-07-11 |
| 1770714677 | Marianne Winter | Acupuncturist | 7 Corporal Patten Way, Salisbury, MA 01952-1623 | 2009-07-27 |
| 1902958820 | Susan Janelle Schander | Physical Therapist | 191 Elm St, Salisbury, MA 01952-1814 | 2007-01-18 |
| 1851874648 | Deborah Welch Labranche | Physical Therapist | 191 Elm St, Salisbury, MA 01952-1814 | 2018-09-08 |
| Find all providers in zip 01952 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1528625399 | Rowan Endoscopy Center, Pllc | Internal Medicine | 1809 Brenner Ave, Suite 102, Salisbury, NC 28144-2558 | 2019-05-28 |
| 1104963990 | Sam Tellawi Md Pa | Internal Medicine | 560 Riverside Dr Ste A206, Salisbury, MD 21801-4704 | 2007-01-31 |
| 1154490886 | John A Routenberg | Internal Medicine | 205 South Division Street, Salisbury, MD 21801 | 2006-11-07 |
| 1174574750 | Daulat S Haldea | Internal Medicine | 310 Mocksville Ave, Salisbury, NC 28144-3328 | 2006-05-16 |
| 1013532969 | Tidalhealth Specialty Care, LLC | Internal Medicine | 560 Riverside Dr Ste A206, Salisbury, MD 21801-4704 | 2020-06-16 |
| 1467000604 | Leigh Casper | Internal Medicine | 1809 Brenner Ave Ste 102, Salisbury, NC 28144-2567 | 2019-08-30 |
| 1598297806 | Rowan Diagnostic Clinic, Pa | Internal Medicine | 1809 Brenner Ave, Salisbury, NC 28144-2558 | 2017-03-28 |
| 1003196353 | Vineet Korrapati | Internal Medicine | 1809 Brenner Ave, Suite 102, Salisbury, NC 28144-2558 | 2011-08-18 |
| 1023240769 | Peninsula Regional Medical Center | Internal Medicine | 560 Riverside Dr, Suite A 206, Salisbury, MD 21801-4700 | 2009-08-13 |
| 1922240332 | John A Routenberg Md Pa | Internal Medicine | 205 S Division St, Salisbury, MD 21801-4930 | 2009-03-31 |
| Find all providers in SALISBURY | ||||
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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.