DR. CHRISTOPHE EUGENE JACKSON (NPI# 1982185443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982185443 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHE EUGENE JACKSON |
| Credential | PHD, MSPAS, PA-C |
| Practice Address |
10099 Ridgegate Pkwy Ste 480 Lone Tree CO 80124-5537 |
| Practice Telephone | 7205993074 |
| Practice Fax Number | 7203601195 |
| Mailing Telephone | 7205993074 |
| Mailing Fax Number | 7203601195 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A2900X |
Psychiatry & Neurology Specialization: Neurocritical Care |
80827 | GA | Allopathic & Osteopathic Physicians |
| Y | 2084A2900X |
Psychiatry & Neurology Specialization: Neurocritical Care |
PA0006179 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 285 Boulevard Ne Ste 415, Atlanta, GA 303124210 | 4042654400 |
| Street Address |
10099 RIDGEGATE PKWY STE 480 |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124-5537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407973266 | Tara Mendozza Decrescentis | Physician Assistant | 10099 Ridgegate Pkwy Ste 480, Lone Tree, CO 80124-5537 | 2007-03-24 |
| 1801252572 | Madelyn Stein | Physician Assistant | 10099 Ridgegate Pkwy Ste 480, Lone Tree, CO 80124-5537 | 2016-01-11 |
| 1154683597 | Matthew K. Mian | Neurological Surgery | 10099 Ridgegate Pkwy Ste 480, Lone Tree, CO 80124 | 2012-06-12 |
| 1386941268 | Ross A Reynolds | Physician Assistant | 10099 Ridgegate Pkwy Ste 480, Lone Tree, CO 80124-5537 | 2011-02-11 |
| 1457662314 | Eric J Arias | Neurological Surgery | 10099 Ridgegate Pkwy Ste 480, Lone Tree, CO 80124 | 2010-06-25 |
| 1053635656 | John Serak Iv | Neurological Surgery | 10099 Ridgegate Pkwy Ste 480, Lone Tree, CO 80124 | 2010-03-25 |
| 1720206014 | Mark Nichols Robinson | Neurological Surgery | 10099 Ridgegate Pkwy Ste 480, Lone Tree, CO 80124-5537 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 2084A2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurocritical Care |
| The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system. |
| Notes: Source: Adapted from the United Council for Neurologic Subspecialties website definition at: http://www.ucns.org/go/subspecialty/neurocritical [7/1/2016: new] |
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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.