Richard Allen Jackson in Richmond - Internal Medicine
Richard Allen Jackson - NPI 1578644290
Richard Allen Jackson is a Internal Medicine in Richmond, Virginia. Richard Allen Jackson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Richard Allen Jackson is 1578644290. The last update date is 2011-12-07.
Richard Allen Jackson's current location address is 304 E Leigh St, Richmond, Virginia. You can contact this provider via phone number 8042257148 and fax number 8042257159. The mailing address for Richard Allen Jackson is 304 E Leigh St, Richmond, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Allen Jackson |
|---|---|
| Address | 304 E Leigh St, Richmond, Virginia |
| Phone Number | 8042257148 |
| Fax Number | 8042257159 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578644290 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2011-12-07 |
Provider Mailing Address Detail
| Address | 304 E Leigh St |
|---|---|
| City | Richmond |
| State | Virginia (VA) |
| Post Code | 232191410 |
| Phone Number | 8042257148 |
| Fax Number | 8042257159 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 101030877 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 542922 | VA | ANTHEM/TRIGON/HMO/PPO/HEA | |
| 541588928 | VA | UNITEDHEALTHCARE | |
| 541588928 | VA | VA COORDINATED CARE | |
| 44130 | VA | SENTAR | |
| 541588928 | VA | SOUTHERHEALTH | |
| 541588928 | VA | VA PREMIER | |
| 541588928 | VA | PHCS | |
| 6044140 | VA | -- | |
| 541588928 | VA | VIRGINIA HEALTH NETWORK | |
| C03251 | VA | MCR GROUP# |
Post Comment/ Review Below
What is the unique identifier code issued to Richard Allen Jackson by the Centers for Medicare & Medicaid Services?
The Richard Allen Jackson has been assigned the NPI (National Provider Identifier) 1578644290. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Richard Allen Jackson's physical address?
The Richard Allen Jackson is physically located at 304 E Leigh St, in the city of Richmond, VA, with the postal code 232191410.
What is the Richard Allen Jackson's area of specialization and corresponding taxonomy classification?
The Richard Allen Jackson's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did Richard Allen Jackson receive its 1578644290 assignment from the Centers for Medicare & Medicaid Services?
The Richard Allen Jackson was assigned its 1578644290 on 2006-10-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Richard Allen Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Richard Allen Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-12-07.
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