DR. MATTHEW WAYNE JACKSON (NPI# 1821359795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821359795 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW WAYNE JACKSON |
| Credential | M.D. |
| Practice Address |
1721 E 19th Ave #520 Denver CO 80218-1251 |
| Mailing Address |
455 St. Michael's Drive Santa Fe NM 87505 |
| Practice Telephone | 3038396741 |
| Mailing Telephone | 5059138900 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2017-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
TL.0004644 | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184278913 | Matthew Jackson | Student in an Organized Health Care Education/Training Program | 540 W 5150 S, Washington Terrace, UT 84405-6530 | 2019-07-30 |
| 1922651041 | Matthew Jackson | Social Worker | 1820 Pleasant Dr, Portage, MI 49002-5604 | 2019-07-17 |
| 1093289795 | Matthew Kory Jackson | Chiropractor | 515 E 4500 S Ste G230, Salt Lake City, UT 84107-4510 | 2019-01-15 |
| 1932558210 | Matthew Jackson | Driver | 3121 Johnston St Apt 142, Lafayette, LA 70503-3760 | 2016-06-08 |
| 1306237201 | Matthew Jackson | Specialist/Technologist | 51 Edward Rd, Townsend, MA 01469-1107 | 2015-02-12 |
| 1710235452 | Matthew Kane Jackson | Pharmacist | 942 Loy Cemetery Rd, Columbia, KY 42728-8719 | 2012-08-28 |
| 1619103702 | Matthew Matthew Jackson | Case Manager/Care Coordinator | 1101 West Morgan St, Suite 8, Paragould, AR 72450-3949 | 2009-06-03 |
| 1609942531 | Matthew Bryan Jackson | Massage Therapist | 2600 Sw Barton Street, Suite A24, Seattle, WA 98126 | 2006-11-24 |
| 1962481887 | Matthew Dv Jackson | Dentist | 9319 E Harry, #126, Wichita, KS 67207 | 2006-01-10 |
| 1528590460 | Matthew Dean Jackson | Student in an Organized Health Care Education/Training Program | 571 S Floyd St, Ste 412, Louisville, KY 40202-3818 | 2017-03-30 |
| Street Address |
1721 E 19TH AVE #520 |
| City | DENVER |
| State | CO |
| Zip Code | 80218-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891779534 | Mark Wilson Brunvand | Internal Medicine | 1721 E 19th Ave, Ste 300, Denver, CO 80218-1251 | 2005-12-06 |
| 1881171767 | Bridget Louis | Physician Assistant | 1721 E 19th Ave, Denver, CO 80218-1251 | 2018-07-24 |
| 1386149532 | Sarah Marie Robbins | Nurse Practitioner | 1721 E 19th Ave, Ste 200-300, Denver, CO 80218 | 2018-03-29 |
| 1912426578 | Kate Mimken | Nurse Practitioner | 1721 E 19th Ave, Denver, CO 80218-1251 | 2017-09-14 |
| 1205360062 | Kyle Mckey | Ophthalmology | 1721 E 19th Ave, Denver, CO 80218-1251 | 2017-04-18 |
| 1639602113 | Whitney Sumner | Student in an Organized Health Care Education/Training Program | 1721 E 19th Ave, #520, Denver, CO 80218-1251 | 2017-04-11 |
| 1043743883 | Christopher Ryan Deig | Student in an Organized Health Care Education/Training Program | 1721 E 19th Ave, #520, Denver, CO 80218-1251 | 2017-04-08 |
| 1053844860 | Jamie Holtz | Student in an Organized Health Care Education/Training Program | 1721 E 19th Ave, Denver, CO 80218-1251 | 2017-04-07 |
| 1295181493 | Mark D Mayeda | Student in an Organized Health Care Education/Training Program | 1721 E 19th Ave, Denver, CO 80218-1251 | 2016-05-06 |
| 1114372992 | Jody Halouska | Dietitian, Registered | 1721 E 19th Ave, Denver, CO 80218-1251 | 2016-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394462 | Robert Collins Taylor | Student in an Organized Health Care Education/Training Program | Family Medicine - Rainer General Surgery, 1960 Ogden Street, Suite 400, Denver, CO 80218 | 2020-04-03 |
| 1679136568 | Ayal Levi | Student in an Organized Health Care Education/Training Program | 1375 E. 19th Avenue Saint Joseph Hospital, Russell Pavillion, 2nd Floor Gme, Denver, CO 80218 | 2019-04-17 |
| 1588124408 | Leah Kellogg | Student in an Organized Health Care Education/Training Program | Bruner Family Medicine - 1960 Ogden St, Suite 460, Denver, CO 80218 | 2019-03-25 |
| 1316407828 | Brant Barry Hafen | Student in an Organized Health Care Education/Training Program | Family Medicine - Caritas Clinic, 1960 Ogden St., Suite 400, Denver, CO 80218 | 2019-03-21 |
| 1679058671 | Katarina Baldovin | Behavioral Analyst | 1430 Humboldt St, Apt 502, Denver, CO 80218 | 2018-09-26 |
| 1235677345 | Angelica Hollins Cunningham | Physical Therapist | 1830 N Franklin St Ste 400, Denver, CO 80218 | 2017-02-09 |
| 1104373786 | Anoush Simonyan | Counselor | 1724 Gilpin Street, Denver, CO 80218 | 2016-09-01 |
| 1881140143 | James Cole Abrams, LLC | Community/Behavioral Health | 1252 Corona St, Apt 4, Denver, CO 80218 | 2016-08-28 |
| 1316398167 | Joanna Ford Counseling | Community/Behavioral Health | 825 East Speer Blvd., 100b, Denver, CO 80218 | 2016-06-23 |
| 1487002671 | Anne Elizabeth Gulick | Physician Assistant | 1601 E 19th Ave, Suite 6600, Denver, CO 80218 | 2016-05-27 |
| Find all providers in zip 80218 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285834945 | Eugene Chung | Radiology | 4700 Hale Pkwy Ste 150, Denver, CO 80220-4054 | 2007-07-20 |
| 1497887624 | Seth D Reiner | Radiology | 2555 S. Downing St, Denver, CO 80210 | 2007-03-12 |
| 1447609466 | Alan Jacob Hise | Radiology | 1375 E 19th Ave, Denver, CO 80218 | 2016-06-09 |
| 1942609201 | Sunrise Radiation Oncology, PC | Radiology | 4700 Hale Pkwy, Founders Building, Ste 150, Denver, CO 80220-4045 | 2014-08-21 |
| 1700046166 | St Anthony Regional Mountain Cancer Center, LLC | Radiology | 4231 W 16th Ave, Denver, CO 80204-1335 | 2008-06-10 |
| 1679740914 | Paige Leigh Dorn | Radiology | 4700 Hale Pkwy Ste 150, Denver, CO 80220-4054 | 2008-05-15 |
| 1659572758 | Brandon James Patton | Radiology | 1835 Franklin St, Denver, CO 80218-1126 | 2007-05-29 |
| 1275740508 | Denver Oncology Professional Corporation | Radiology | 2555 S. Downing St, Denver, CO 80210 | 2007-05-17 |
| 1861619173 | James S Jacobs | Radiology | 1835 Franklin St, Denver, CO 80218-1126 | 2007-04-19 |
| 1780711366 | Mark A Chidel | Radiology | 1375 E 19th Ave, Denver, CO 80218-1114 | 2007-02-28 |
| Find all providers in DENVER | ||||
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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.