JACKSON SURGICAL ASSISTING SERVICES LLC. (NPI# 1881733905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881733905 |
| Entity Type | Organization |
| Organization Name | JACKSON SURGICAL ASSISTING SERVICES LLC. |
| Practice Address |
19 Curtis Dr Windham ME 04062-4704 |
| Practice Telephone | 2073184072 |
| Practice Fax Number | 2078928184 |
| Mailing Telephone | 2073184072 |
| Mailing Fax Number | 2078928184 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | MR. MICHAEL JAMES JACKSON (OWNER - EXECUTOR) |
| Authorized Official Telephone | 2073184072 |
| Authorized Official Credential | RN, CNOR, RNFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
048931 | ME | Nursing Service Providers |
| Street Address |
19 CURTIS DR |
| City | WINDHAM |
| State | ME |
| Zip Code | 04062-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528421955 | Michael James Jackson | Registered Nurse | 19 Curtis Dr, Windham, ME 04062-4704 | 2016-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173878 | Lori A Fletcher | Occupational Therapist | 408 Gray Road, Windham Middle School, Windham, ME 04062 | 2013-10-22 |
| 1952631673 | Great Expectations | Early Intervention Provider Agency | 17 Veterans Memorial Drive, Windham, ME 04062 | 2009-12-31 |
| 1366689986 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2009-01-20 |
| 1245485390 | Cynthia Ann Grover | Counselor | 86 Tanenberg Trail, Smart Child and Family Services, Windham, ME 04062 | 2008-11-17 |
| 1902066277 | Edgeco LLC | Specialist | 108 Tandburg Trail, Windham, ME 04062 | 2008-06-11 |
| 1881811875 | John E. Wood | Counselor | 76 Tandberg Trl Unit 2a, Windham, ME 04062 | 2007-04-19 |
| 1184848509 | Howland W. Bickerstaff | Counselor | Danzig Counseling Services, 936 Roosevelt Trail, Windham, ME 04062 | 2007-04-13 |
| 1700953015 | Melanie P Fitzsimmons | Internal Medicine | 584 Roosevelt Trail, Windham, ME 04062 | 2006-11-29 |
| 1023109204 | Ted W Rogers | Chiropractor | 744 Roosevelt Trail, Windham Crossing Suite 205, Windham, ME 04062 | 2006-09-27 |
| 1285744367 | Cheryl L Klein | Counselor | 30 Hemon Cobb Rd, Windham, ME 04062 | 2006-08-30 |
| Find all providers in zip 04062 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528421955 | Michael James Jackson | Registered Nurse | 19 Curtis Dr, Windham, ME 04062-4704 | 2016-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821521675 | Jessica Deleon | Registered Nurse | 27 Leavitt Brook Rd, Limerick, ME 04048-3272 | 2017-04-08 |
| 1669745592 | Mikeal Freedom Mercedes | Registered Nurse | 16 Memory Ln, South Portland, ME 04106-6148 | 2012-02-23 |
| 1912149113 | Linda Anderson | Registered Nurse | 31 Pat St, Winslow, ME 04901-7261 | 2009-04-02 |
| 1881777175 | Dale Alan Smith | Registered Nurse | 192 Sebago Lake Rd, Gorham, ME 04038-2328 | 2006-10-23 |
| 1508425208 | Michael Steven Bodkin | Registered Nurse | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-06-07 |
| 1770046278 | Amy Rose Durland Faulkner | Registered Nurse | 140 Academy St, Presque Isle, ME 04769-3102 | 2019-04-11 |
| 1609364397 | Leonard Lyakhovich | Registered Nurse | 10 Wayman Ln, Bar Harbor, ME 04609-1625 | 2018-04-27 |
| 1437542156 | Joyce Marie Remeschatis | Registered Nurse | 55 Broadway, Suite 2, Bangor, ME 04401-5201 | 2015-03-05 |
| 1699178772 | Belinda Pillow | Registered Nurse | 28 Park St, Bath, ME 04530-2829 | 2014-10-02 |
| 1952729071 | Melissa Ware | Registered Nurse | 897 W Main St, Dover Foxcroft, ME 04426-1029 | 2014-04-05 |
| 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.