Robert T Jackson in Provo - Orthopaedic Surgery
Robert T Jackson - NPI 1407959695
Robert T Jackson is a Orthopaedic Surgery in Provo, Utah. Robert T Jackson practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Robert T Jackson is 1407959695. The last update date is 2018-11-02.
Robert 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 Robert T Jackson is 1055 N 500 W, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert 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 | 1407959695 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2018-11-02 |
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 | 158297-1205 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 107006624103 | UT | IHC | |
| 200045123 | UT | PALMETTO | |
| 68074 | UT | PEHP | |
| 09-00414 | UT | UNITED HEALTHCARE | |
| 35879 | UT | DMBA | |
| 870281028RTJ | UT | EMIA | |
| 870281028000 | UT | -- | |
| QM0000056631 | UT | ALTIUS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Robert T Jackson by the Centers for Medicare & Medicaid Services?
The Robert T Jackson has been issued the NPI (National Provider Identifier) 1407959695 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Robert T Jackson is physically located?
The Robert T Jackson is situated at the following address: 1055 N 500 W, Provo, UT 846043305.
What is Robert T Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert T Jackson's specialized field of practice is Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 207X00000X.
On what date did the Robert T Jackson receive the assignment of its 1407959695 from the Centers for Medicare & Medicaid Services?
The Robert T Jackson was issued its 1407959695 by the Centers for Medicare & Medicaid Services on 2006-09-06.
When was the information pertaining to Robert T Jackson most recently updated or revised?
The details related to Robert T Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2018-11-02.