Shawn Barrett Jackson in Springfield - Dermatopathology
Shawn Barrett Jackson - NPI 1730258708
Shawn Barrett Jackson is a Dermatopathology in Springfield, Missouri. Shawn Barrett Jackson practices all healthcare services and medical treatments related to Dermatopathology. The NPI Number for Shawn Barrett Jackson is 1730258708. The last update date is 2017-05-04.
Shawn Barrett Jackson's current location address is 1000 E Primrose St Ste 550, Springfield, Missouri. You can contact this provider via phone number 4172694646. The mailing address for Shawn Barrett Jackson is 1000 E Primrose St Ste 550, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawn Barrett Jackson |
|---|---|
| Address | 1000 E Primrose St Ste 550, Springfield, Missouri |
| Phone Number | 4172694646 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M,D, |
NPI Number Detail
| NPI Number | 1730258708 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2017-05-04 |
Provider Mailing Address Detail
| Address | 1000 E Primrose St Ste 550 |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658075180 |
| Phone Number | 4172694646 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatopathology |
|---|---|
| Taxonomy | 207Zd0900X |
| Licence No | 2005005716 |
|
Definition: A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellu |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 700100407 | MO | -- | |
| 1101160 | MO | UNITED HEALTHCARE | |
| 421539307 | MO | FED TAX ID-TRI-LAKES PATH | |
| 1559 | MO | BLUECROSSBLUESHIELD-PATHO | |
| 431451388 | MO | FED TAX ID-PATHOLOGY SERV | |
| 159012 | MO | BLUECROSSBLUESHIELD-TRI-L | |
| 705866705 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shawn Barrett Jackson by the Centers for Medicare & Medicaid Services?
The Shawn Barrett Jackson has been issued the NPI (National Provider Identifier) 1730258708, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shawn Barrett Jackson's facilities are geographically located?
The facilities of Shawn Barrett Jackson are physically situated at the following location: 1000 E Primrose St Ste 550, Springfield, MO, 658075180.
What is the Shawn Barrett Jackson's area of specialization and corresponding taxonomy classification?
The Shawn Barrett Jackson's specialty field is Dermatopathology, and it falls under the taxonomy code 207Zd0900X, which categorizes healthcare providers based on their specialties.
On what date was the 1730258708 assigned to Shawn Barrett Jackson?
The Shawn Barrett Jackson was issued its 1730258708 on 2006-11-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Shawn Barrett Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shawn Barrett Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-05-04.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY