T. Scott Jackson in Ephrata - Family Medicine

T. Scott Jackson - NPI 1760412076

T. Scott Jackson is a Family Medicine in Ephrata, Pennsylvania. T. Scott Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for T. Scott Jackson is 1760412076. The last update date is 2016-01-12.

T. Scott Jackson's current location address is 4131 Oregon Pike, Ephrata, Pennsylvania. You can contact this provider via phone number 7178595161 and fax number 7178595169. The mailing address for T. Scott Jackson is 4131 Oregon Pike, Ephrata, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name T. Scott Jackson
Address 4131 Oregon Pike, Ephrata, Pennsylvania
Phone Number 7178595161
Fax Number 7178595169
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1760412076
Provider Enumeration Date 2006-07-03
Last Updated Date 2016-01-12

Provider Mailing Address Detail

Address 4131 Oregon Pike
City Ephrata
State Pennsylvania (PA)
Post Code 175229550
Phone Number 7178595161
Fax Number 7178595169

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD029835E
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10105110006 PA --
50051189 PA CAPITAL BLUE
P002396 PA GATEWAY
117553 PA BLUE SHIELD

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FAQs about T. Scott Jackson

What is the unique 10-digit identifier code issued to T. Scott Jackson by the Centers for Medicare & Medicaid Services?

The T. Scott Jackson has been assigned the NPI (National Provider Identifier) 1760412076 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where T. Scott Jackson's facilities are situated?

The facilities of T. Scott Jackson are physically located at the following address: 4131 Oregon Pike, Ephrata, PA, 175229550.

What is T. Scott Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for T. Scott Jackson is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1760412076 to T. Scott Jackson?

The T. Scott Jackson received its 1760412076 assignment from the Centers for Medicare & Medicaid Services on 2006-07-03.

As of what date were the T. Scott Jackson's details last updated?

The information pertaining to the T. Scott Jackson, including its address, specialty, and other details, was most recently updated on 2016-01-12.

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