Thomas James Jackson in Sullivan - Internal Medicine
Thomas James Jackson - NPI 1528262698
Thomas James Jackson is a Internal Medicine in Sullivan, Missouri. Thomas James Jackson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Thomas James Jackson is 1528262698. The last update date is 2021-05-13.
Thomas James Jackson's current location address is 965 Mattox Dr, Sullivan, Missouri. You can contact this provider via phone number 5738606000. The mailing address for Thomas James Jackson is 965 Mattox Dr, Sullivan, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas James Jackson |
|---|---|
| Address | 965 Mattox Dr, Sullivan, Missouri |
| Phone Number | 5738606000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1528262698 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2021-05-13 |
Provider Mailing Address Detail
| Address | 965 Mattox Dr |
|---|---|
| City | Sullivan |
| State | Missouri (MO) |
| Post Code | 630802365 |
| Phone Number | 5738606000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 2009020182 |
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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 |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Thomas James Jackson by the Centers for Medicare & Medicaid Services?
The Thomas James Jackson has been issued the NPI (National Provider Identifier) 1528262698, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Thomas James Jackson is geographically located?
The Thomas James Jackson is physically situated at the following location: 965 Mattox Dr, Sullivan, MO, 630802365.
What is Thomas James Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Thomas James Jackson is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1528262698 to Thomas James Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1528262698 to Thomas James Jackson on 2007-06-13.
As of what date was the information regarding Thomas James Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Thomas James Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-05-13.