Bryon Patrick Jackson (NPI# 1306990908, PAC ID# 4688956469) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1306990908 |
| PAC ID by PECOS | 4688956469 |
| Professional Enrollment ID | I20190509000020 |
| Full Name | Bryon Patrick Jackson |
| Organization Legal Name | UNIV OF MD PATHOLOGY ASSOCIATES P A |
| Address |
22 S Green St Baltimore MD 21201-1544 |
| Phone Number | 4103285555 |
| Gender | M |
| Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 7517853377 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210002 | UNIVERSITY OF MARYLAND MEDICAL CENTER |
| 210037 | UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON |
| 210038 | UNIVERSITY OF MD MEDICAL CENTER MIDTOWN CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 22 S Green St, Baltimore, MD 21201-1544 | 4103285555 | UNIV OF MD PATHOLOGY ASSOCIATES P A |
| 419 W Redwood St, Suite 200, Baltimore, MD 21201-1734 | 4103283408 | UNIV OF MD PATHOLOGY ASSOCIATES P A |
| Organization Legal Name | UNIV OF MD PATHOLOGY ASSOCIATES P A |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Kallen | Pathology | Univ of Md Pathology Associates P A | 22 S Green St, Baltimore, MD 21201-1544 |
| Cheng-ying Ho | Pathology | Univ of Md Pathology Associates P A | 22 S Green St, Baltimore, MD 21201-1544 |
| Allen P Burke | Pathology | Univ of Md Pathology Associates P A | 22 S Green St, Baltimore, MD 21201-1544 |
| Colin Murphy | Pathology | Univ of Md Pathology Associates P A | 22 S Green St, Baltimore, MD 21201-1544 |
| Paul N Staats | Pathology | Univ of Md Pathology Associates P A | 22 S Green St, Baltimore, MD 21201-1544 |
| Teklu B Legesse | Pathology | Univ of Md Pathology Associates P A | 22 S Green St, Baltimore, MD 21201-1544 |
| Emily E Wilding | Pathology | Univ of Md Pathology Associates P A | 22 S Green St, Baltimore, MD 21201-1544 |
| Kristen M Stashek | Pathology | Univ of Md Pathology Associates P A | 22 S Green St, Baltimore, MD 21201-1544 |
| Zeba Niazi Singh | Pathology | Univ of Md Pathology Associates P A | 22 S Green St, Baltimore, MD 21201-1544 |
| William S Twaddell | Pathology | Univ of Md Pathology Associates P A | 22 S Green St, Baltimore, MD 21201-1544 |
| Street Address |
22 S GREEN ST |
| City | BALTIMORE |
| State | MD |
| Zip | 21201-1544 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay B O'meara | Nurse Practitioner | Shock Trauma Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Jeongae Yoon | Anesthesiology | University of Maryland Anesthesiology Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Shoshana J Weiner | Internal Medicine | University of Maryland Physicians P.a. | 22 S Green St, Baltimore, MD 21201-1544 |
| Michael Kallen | Pathology | Univ of Md Pathology Associates P A | 22 S Green St, Baltimore, MD 21201-1544 |
| Ning Ma | Nurse Practitioner | University of Maryland Oncology Associates, Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Joseph Alden Herrold | General Surgery | Shock Trauma Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Shanna E Fortune | Nurse Practitioner | Shock Trauma Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Lindsey A Burns | Nurse Practitioner | University of Maryland Oncology Associates, Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Carlyn Bonny | Certified Registered Nurse Anesthetist (crna) | University of Maryland Medical System Corporation | 22 S Green St, Baltimore, MD 21201-1544 |
| Robert Glen Slawson | Radiation Oncology | University of Maryland Radiation Oncology Associates Pa | 22 S Green St, Baltimore, MD 21201-1544 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andra Henning | Occupational Therapy | Proactive Therapy, LLC | 808 Hollins St, Baltimore, MD 21201-1004 |
| Adaobi E Igboanugo | Physical Therapy | Proactive Therapy, LLC | 808 Hollins St, Baltimore, MD 21201-1004 |
| Olugbolahan J Anifowose | Physical Therapy | Proactive Therapy, LLC | 808 Hollins St, Baltimore, MD 21201-1004 |
| Carmen Tucker-richardson | Qualified Speech Language Pathologist | Proactive Therapy, LLC | 808 Hollins St, Baltimore, MD 21201-1004 |
| Terrell D Trent | Occupational Therapy | Proactive Therapy, LLC | 808 Hollins St, Baltimore, MD 21201-1004 |
| Monique Whitney | Physical Therapy | Proactive Therapy, LLC | 808 Hollins St, Baltimore, MD 21201-1004 |
| Jodi L Berg-gaither | Nurse Practitioner | University of Maryland Midtown Health Inc | 105 Penn St, Baltimore, MD 21201-1020 |
| Michael L Mincin | Nurse Practitioner | University of Maryland Midtown Health Inc | 105 Penn St, Baltimore, MD 21201-1020 |
| Tiffany D Reabold | Nurse Practitioner | University of Maryland Midtown Health Inc | 105 Penn St, Baltimore, MD 21201-1020 |
| Brent Russell King | Emergency Medicine | University of Maryland Midtown Health Inc | 105 Penn St, Baltimore, MD 21201-1020 |
| Find all physicians in zip 21201 | |||
| City | BALTIMORE |
| Zip Code | 21201 |
| Specialty | PATHOLOGY |
| City + Specialty | BALTIMORE + PATHOLOGY |
Please comment or provide details below to improve the information on Bryon Patrick Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.