Mark K Jackson in Oswego - Diagnostic Radiology
Mark K Jackson - NPI 1063405538
Mark K Jackson is a Diagnostic Radiology in Oswego, New York. Mark K Jackson practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Mark K Jackson is 1063405538. The last update date is 2007-09-13.
Mark K Jackson's current location address is 110 W 6th St, Oswego, New York. You can contact this provider via phone number 3153495000. The mailing address for Mark K Jackson is 110 W 6th St, Oswego, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark K Jackson |
|---|---|
| Address | 110 W 6th St, Oswego, New York |
| Phone Number | 3153495000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063405538 |
|---|---|
| Provider Enumeration Date | 2005-08-30 |
| Last Updated Date | 2007-09-13 |
Provider Mailing Address Detail
| Address | 110 W 6th St |
|---|---|
| City | Oswego |
| State | New York (NY) |
| Post Code | 131262507 |
| Phone Number | 3153495000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 196101 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1880015 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark K Jackson by the Centers for Medicare & Medicaid Services?
The Mark K Jackson has been issued the NPI (National Provider Identifier) 1063405538, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark K Jackson located?
The Mark K Jackson is located at 110 W 6Th St, Oswego, NY 131262507.
What is Mark K Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark K Jackson is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.
On what date did the Mark K Jackson receive its 1063405538 assignment from the Centers for Medicare & Medicaid Services?
The Mark K Jackson was assigned its 1063405538 by the Centers for Medicare & Medicaid Services on 2005-08-30.
When was the information pertaining to Mark K Jackson most recently updated or revised?
The details related to Mark K Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-13.