GUY L JACKSON (NPI# 1952330409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952330409 |
| Entity Type | Individual |
| Full Name | GUY L JACKSON |
| Credential | PA |
| Practice Address |
330 Brookline Ave Boston MA 02215-5400 |
| Practice Telephone | 6176679383 |
| Practice Fax Number | 6176679384 |
| Mailing Telephone | 6176679383 |
| Mailing Fax Number | 6176679384 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
261 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659722239 | Guy Jackson | Obstetrics & Gynecology | 425 N Chapel Gate Ln, Baltimore, MD 21229-2430 | 2016-06-25 |
| Street Address |
330 BROOKLINE AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541458 | Carolyn Zelop | Obstetrics & Gynecology | 330 Brookline Ave, Ks 306, Boston, MA 02215-5400 | 2005-07-12 |
| 1134735848 | Wassef Chanbour | Ophthalmology | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-09-17 |
| 1174139976 | Christopher Joseph Allen | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-09-17 |
| 1982218970 | Carleen E Cox | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-09-07 |
| 1245842319 | Emily Anne Keegan | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-08-20 |
| 1043822505 | Ann Korkidakis | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Kirstein 3, Boston, MA 02215-5400 | 2020-08-17 |
| 1023628468 | Bryar Hasenjaeger | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-31 |
| 1023627262 | Vikram Karnik | Psychiatry & Neurology | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-23 |
| 1386252682 | Nancy Littlehale | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-22 |
| 1356968598 | Jessica Catherine Okrant | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
| 1366006330 | Theresa Fukuda | Physician Assistant | 43 Bowdoin St Apt 2f, Boston, MA 02114-4238 | 2019-04-25 |
| 1649645201 | Andrew R Phenix | Physician Assistant | 75 Francis Street, Pbb-b 428, Brigham and Women's Hospital, Boston, MA 02115 | 2015-12-08 |
| 1346636123 | Julie Baskind Gilman | Physician Assistant | 800 Washington St # 401, Tufts Gma, Boston, MA 02111-1552 | 2015-04-08 |
| 1356688030 | Kevin Murtha | Physician Assistant | 6225 Shero Rd, Boston, NY 14025-9707 | 2013-01-15 |
| 1750560348 | Gretchen Haley Biggins | Physician Assistant | 44 Binney St # D1b30, Boston, MA 02115-6013 | 2007-10-30 |
| 1538290549 | Stephen Herrington Robinson | Physician Assistant | One Boston Medical Place, Boston, MA 02118 | 2007-03-08 |
| 1518057306 | Maha B Lund | Physician Assistant | 75 Francis St # Pbb-b4, Boston, MA 02115-6110 | 2006-10-13 |
| 1346287067 | Kathleen Fischer | Physician Assistant | 150 South Huntington Ave., Va Boston Healthcare System, Boston, MA 02130 | 2006-06-01 |
| 1659332799 | Cristobal Cornejo Jr. | Physician Assistant | 360 Huntington Ave, 135 Forsyth Building, Boston, MA 02115-5005 | 2006-03-29 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on GUY L JACKSON.
| 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.