ADAM W JACKSON (NPI# 1881801694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881801694 |
| Entity Type | Individual |
| Full Name | ADAM W JACKSON |
| Credential | M.D. |
| Practice Address |
700 1st Ave S Fargo ND 58103-1802 |
| Mailing Address |
Po Box 2168 Fargo ND 58107-2168 |
| Practice Telephone | 7012344036 |
| Practice Fax Number | 7012344050 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2014-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 12888 | ND | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 40454 | IA | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | R-7901 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 18197 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033257662 | Adam S. Jackson | Acupuncturist | 5800 Soundview Dr Ste C101, Gig Harbor, WA 98335-2077 | 2007-02-04 |
| 1902423304 | Adam Jackson | Student in an Organized Health Care Education/Training Program | 3909 Woodley Rd, Toledo, OH 43606-1169 | 2020-07-01 |
| 1407483415 | Adam Joel Jackson | Student in an Organized Health Care Education/Training Program | Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234 | 2020-03-27 |
| 1942734884 | Adam Jackson | Counselor | 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 | 2017-04-18 |
| 1023558376 | Adam Jackson | Psychiatry & Neurology | 55 W Chestnut St, Chicago, IL 60610-3347 | 2017-03-06 |
| 1922465350 | Adam Jackson | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2016-01-14 |
| 1306973375 | Adam B Jackson | General Practice | 2045 Franklin St, Department of Infectious Diseases, Denver, CO 80205-5437 | 2007-02-27 |
| 1144314501 | Adam Russell Jackson | Pharmacist | 17273 State Route 104, Chillicothe, OH 45601-0999 | 2006-10-02 |
| Street Address |
700 1ST AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700872157 | Harry C Weiser | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2005-09-21 |
| 1538783972 | Austin Fridrich | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2020-06-02 |
| 1144842089 | Matthew Hockert | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2020-05-14 |
| 1770110777 | Steffani Nicole Johnston Mack | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2020-03-27 |
| 1457912529 | Dillon F Grose | Nurse Practitioner | 700 1st Ave S, Fargo, ND 58103-1802 | 2019-06-27 |
| 1629639919 | Paul Rodenbiker | Nurse Practitioner | 700 1st Ave S, Fargo, ND 58103-1802 | 2019-06-26 |
| 1477053411 | Sara Amys | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2018-02-16 |
| 1881193803 | Rachael Burns | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2018-02-05 |
| 1457872889 | Jaydee Unruh | Nurse Practitioner | 700 1st Ave S, Fargo, ND 58103-1802 | 2017-07-06 |
| 1205377793 | Behzad Sabit | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103 | 2017-03-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457551228 | Steven Jared Broadway | Neurological Surgery | 2829 University Dr S Ste 202, Fargo, ND 58103-6050 | 2007-07-20 |
| 1700872157 | Harry C Weiser | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2005-09-21 |
| 1205377793 | Behzad Sabit | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103 | 2017-03-16 |
| 1467907097 | Synapses LLC | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2016-08-24 |
| 1790150332 | Evgueni E Kouznetsov | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2015-12-08 |
| 1568805927 | Alexander Drofa | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2013-04-16 |
| 1285945162 | Hani Malone | Neurological Surgery | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2010-06-25 |
| 1568789188 | Michael Hill | Neurological Surgery | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2010-04-21 |
| 1417197179 | Karthik Hs Madhavan | Neurological Surgery | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2009-02-20 |
| 1568662971 | Eunkyung Michelle Bahn | Neurological Surgery | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2007-07-23 |
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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.