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ANNE-MARIE JACKSON MD NPI 1740332832


NPI Information

NPI: 1740332832
Provider Name: ANNE-MARIE JACKSON, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Organization: DIGNITY HEALTH MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
1505 SOQUEL DR STE 5A
SANTA CRUZ, CA
ZIP 95065
Phone: (831) 465-5440
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Anne-marie Jackson, MD is an obstetrics gynecology in Santa Cruz, CA with 33 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Anne-marie Jackson, MD NPI is 1740332832. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:1991

The provider's business location address is:

1505 SOQUEL DR STE 5A
SANTA CRUZ, CA
ZIP 95065-716
Phone: (831) 465-5440
Fax: (831) 462-4039

The NPI 1740332832 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)
  • Ultrasound pelvis through vagina (HCPCS:76830)

The enumeration date for this NPI number is 1/17/2007 and was last updated on 10/4/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyG076326CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G18821MEDICARE UPINCALIFORNIA
2BJ3790866OTHERCALIFORNIADEA LICENSE NUMBER
3G076326OTHERCALIFORNIASTATE LICENSE
400G763260MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.