Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAWN IAN JACKSON, MD
ActiveDR. SHAWN IAN JACKSON, MD is a Anesthesiology healthcare provider located in WICHITA, Kansas. NPI 1609071158 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · WICHITA, KS
Registration Details
- NPI Number
- 1609071158
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2007 (19.154895302659 yrs)
- Last Updated
- Dec 1, 2014
- Licenses
-
04-33385 (KS)04-33385 (KS)
Practice Information
- Address
-
1947 N FOUNDERS CIRWCGMEWICHITA, KS, 672063548Browse KS providers · Browse ZIP 67206
- Phone
- 3166134930
- Primary Specialty
-
Anesthesiology
207L00000X
- Additional Specialty
- Internal Medicine
Other Anesthesiology Providers in WICHITA, KS
| Name | Credential | NPI |
|---|---|---|
| LYLE D VIERTHALER | MD | 1194727768 |
| SHAWN D CARPENTER | MD | 1649272279 |
| CHARLES PATRICK MCCOY | MD | 1750383345 |
| CHRISTOPHER HUBENER | MD | 1992707582 |
| MARK A KIRSCH | MD | 1710989306 |
| BRYAN L BLACK | MD | 1790787380 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.