Roger P Jackson in North Kansas City - Orthopaedic Surgery Of The Spine

Roger P Jackson - NPI 1811044548

Roger P Jackson is a Orthopaedic Surgery Of The Spine in North Kansas City, Missouri. Roger P Jackson practices all healthcare services and medical treatments related to Orthopaedic Surgery Of The Spine. The NPI Number for Roger P Jackson is 1811044548. The last update date is 2023-03-07.

Roger P Jackson's current location address is 2750 Clay Edwards Dr Ste 600, North Kansas City, Missouri. You can contact this provider via phone number 8164716611 and fax number 8164716192. The mailing address for Roger P Jackson is 2750 Clay Edwards Dr Ste 600, North Kansas City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Roger P Jackson
Address 2750 Clay Edwards Dr Ste 600, North Kansas City, Missouri
Phone Number 8164716611
Fax Number 8164716192
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1811044548
Provider Enumeration Date 2007-01-04
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 2750 Clay Edwards Dr Ste 600
City North Kansas City
State Missouri (MO)
Post Code 641163258
Phone Number 8164716611
Fax Number 8164716192

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery Of The Spine
Taxonomy 207Xs0117X
Licence No R5717
Definition:
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorde

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7979011 BCBS OF KC
200018411 RAILROAD MEDICARE
09-00221 UNITED HEALTHCARE
4571391 AETNA

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FAQs about Roger P Jackson

What is the unique 10-digit identifier code assigned to Roger P Jackson by the Centers for Medicare & Medicaid Services?

The Roger P Jackson has been issued the NPI (National Provider Identifier) 1811044548 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Roger P Jackson's facilities are geographically located?

The facilities of Roger P Jackson are physically situated at the following location: 2750 Clay Edwards Dr Ste 600, North Kansas City, MO, 641163258.

What is Roger P Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Roger P Jackson is Orthopaedic Surgery Of The Spine, and the taxonomy code that classifies this field of practice is 207Xs0117X.

On what date did the Roger P Jackson receive the assignment of its 1811044548 from the Centers for Medicare & Medicaid Services?

The Roger P Jackson was issued its 1811044548 by the Centers for Medicare & Medicaid Services on 2007-01-04.

As of what date were the details pertaining to Roger P Jackson last refreshed?

The information related to the Roger P Jackson, including its address, specialty, and other relevant details, was last updated on 2023-03-07.

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