Jon Richard Jackson in Baton Rouge - Internal Medicine
Jon Richard Jackson - NPI 1013909118
Jon Richard Jackson is a Internal Medicine in Baton Rouge, Louisiana. Jon Richard Jackson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jon Richard Jackson is 1013909118. The last update date is 2021-03-26.
Jon Richard Jackson's current location address is 5000 Hennessy Blvd, Baton Rouge, Louisiana. You can contact this provider via phone number 2257654050 and fax number 2257654046. The mailing address for Jon Richard Jackson is 5000 Hennessy Blvd, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon Richard Jackson |
|---|---|
| Address | 5000 Hennessy Blvd, Baton Rouge, Louisiana |
| Phone Number | 2257654050 |
| Fax Number | 2257654046 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013909118 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2021-03-26 |
Provider Mailing Address Detail
| Address | 5000 Hennessy Blvd |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708084375 |
| Phone Number | 2257654050 |
| Fax Number | 2257654046 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 12488R |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00020219 | RAIL ROAD MEDICARE | ||
| 1738210 | MS | -- | |
| 1535931 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jon Richard Jackson by the Centers for Medicare & Medicaid Services?
The Jon Richard Jackson has been assigned the NPI (National Provider Identifier) 1013909118 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jon Richard Jackson?
The Jon Richard Jackson is situated at 5000 Hennessy Blvd, in the city of Baton Rouge, state of LA, with the zip code 708084375.
What is Jon Richard Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jon Richard Jackson is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013909118 to Jon Richard Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1013909118 to Jon Richard Jackson on 2005-08-16.
When was the information pertaining to Jon Richard Jackson most recently updated or revised?
The details related to Jon Richard Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2021-03-26.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH