Donald E Jackson in Gainesville - Neuroradiology

Donald E Jackson - NPI 1740238153

Donald E Jackson is a Neuroradiology in Gainesville, Florida. Donald E Jackson practices all healthcare services and medical treatments related to Neuroradiology. The NPI Number for Donald E Jackson is 1740238153. The last update date is 2022-03-15.

Donald E Jackson's current location address is 6716 Nw 11th Place, Gainesville, Florida. You can contact this provider via phone number 3523319729. The mailing address for Donald E Jackson is 6716 Nw 11th Place, Gainesville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald E Jackson
Address 6716 Nw 11th Place, Gainesville, Florida
Phone Number 3523319729
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1740238153
Provider Enumeration Date 2006-05-05
Last Updated Date 2022-03-15

Provider Mailing Address Detail

Address 6716 Nw 11th Place
City Gainesville
State Florida (FL)
Post Code 326054215
Phone Number 3523319729
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neuroradiology
Taxonomy 2085N0700X
Licence No ME60317
Definition:
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
54764600 FL --
12766 FL BCBS FL
239216 FL AVMED
P00328037 FL RAILROAD MEDICARE
P00328037 FL RAIL ROAD MEDICARE
12766 FL BCBSFL
270855 FL AVMED
P00316730 FL RAIL ROAD MEDICARE
1740238153 TRICARE PRIME
P00316730 FL RAILROAD MEDICARE

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FAQs about Donald E Jackson

What is the Donald E Jackson's unique identification number?

The Donald E Jackson has been assigned the NPI (National Provider Identifier) Number 1740238153 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Donald E Jackson's physical address?

The Donald E Jackson is physically located at 6716 Nw 11Th Place, in the city of Gainesville, FL, with the postal code 326054215.

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

The area of specialization for Donald E Jackson is Neuroradiology, and the taxonomy code that classifies this field of practice is 2085N0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1740238153 to Donald E Jackson?

The Centers for Medicare & Medicaid Services originally issued the 1740238153 to Donald E Jackson on 2006-05-05.

As of what date were the Donald E Jackson's details last updated?

The information pertaining to the Donald E Jackson, including its address, specialty, and other details, was most recently updated on 2022-03-15.

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