Richard T Jackson in Provo - Orthopaedic Surgery
Richard T Jackson - NPI 1144323163
Richard T Jackson is a Orthopaedic Surgery in Provo, Utah. Richard T Jackson practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Richard T Jackson is 1144323163. The last update date is 2023-11-27.
Richard T Jackson's current location address is 1055 N 500 W, Provo, Utah. You can contact this provider via phone number 8013737350 and fax number 8018125401. The mailing address for Richard T Jackson is 1055 N 500 W, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard T Jackson |
|---|---|
| Address | 1055 N 500 W, Provo, Utah |
| Phone Number | 8013737350 |
| Fax Number | 8018125401 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1144323163 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
| Address | 1055 N 500 W |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846043305 |
| Phone Number | 8013737350 |
| Fax Number | 8018125401 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 158498-1205 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36165 | UT | DMBA | |
| 870281028000 | UT | -- | |
| 870281028RCH | UT | EMIA | |
| QM000056630 | UT | ALTIUS | |
| 107004917104 | UT | IHC | |
| 09-00376 | UT | UTAH HEALTHCARE | |
| 20045125 | UT | PALMETTO | |
| 68073 | UT | PEHP |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Richard T Jackson by the Centers for Medicare & Medicaid Services?
The Richard T Jackson has been issued the NPI (National Provider Identifier) 1144323163 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Richard T Jackson?
The Richard T Jackson is physically situated at 1055 N 500 W, in the city of Provo, state of UT, with the postal code 846043305.
What is Richard T Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Richard T Jackson is Orthopaedic Surgery, and the taxonomy code that categorizes this field of expertise is 207X00000X.
On what date did the Richard T Jackson receive the assignment of its 1144323163 from the Centers for Medicare & Medicaid Services?
The Richard T Jackson was issued its 1144323163 by the Centers for Medicare & Medicaid Services on 2006-09-06.
When was the information regarding Richard T Jackson most recently updated?
The details pertaining to the Richard T Jackson, including its address, specialty, and other relevant information, were last refreshed on 2023-11-27.