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DR. SHAUN WILLIAM JACKSON MD NPI 1780845818


NPI Information

NPI: 1780845818
Provider Name: DR. SHAUN WILLIAM JACKSON, MD
Classification: Pediatrics - 2080P0210X
Entity Type: Individual

Specialization: Pediatric Nephrology

PECOS Registration: Yes

Address:
4800 SAND POINT WAY NE
SEATTLE CHILDREN'S HOSPITAL, DIVISION OF NEPHROLOGY
SEATTLE, WA
ZIP 98105
Phone: (857) 891-6790
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DR. Shaun William Jackson, MD is a pediatric nephrology pediatrics in Seattle, WA with 23 years of experience. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. DR. Shaun William Jackson, MD NPI is 1780845818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4800 SAND POINT WAY NE
SEATTLE CHILDREN'S HOSPITAL, DIVISION OF NEPHROLOGY
SEATTLE, WA
ZIP 98105
Phone: (857) 891-6790

The NPI 1780845818 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 enumeration date for this NPI number is 6/20/2008 and was last updated on 6/27/2018.


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
1208000000XPediatrics225159MASSACHUSETTSNo
22080P0210XPediatricsPediatric NephrologyMD60002199WASHINGTONYes
32080P0216XPediatricsPediatric RheumatologyMD60002199WASHINGTONNo

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: 4/28/2024

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.