Herschel S Jackson is a Urology in Murray, Kentucky. Herschel S Jackson practices all healthcare services and medical treatments related to Urology. The NPI Number for Herschel S Jackson is 1194792796. The last update date is 2010-12-21.
Herschel S Jackson's current location address is 300 S 8th St, Murray, Kentucky. You can contact this provider via phone number 2707539240 and fax number 2707673629. The mailing address for Herschel S Jackson is 300 S 8th St, Murray, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Herschel S Jackson |
|---|---|
| Address | 300 S 8th St, Murray, Kentucky |
| Phone Number | 2707539240 |
| Fax Number | 2707673629 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1194792796 |
|---|---|
| Provider Enumeration Date | 2006-03-02 |
| Last Updated Date | 2010-12-21 |
Provider Mailing Address Detail
| Address | 300 S 8th St |
|---|---|
| City | Murray |
| State | Kentucky (KY) |
| Post Code | 420712400 |
| Phone Number | 2707539240 |
| Fax Number | 2707673629 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 15974 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20006711 | KY | RAILROAD MEDICARE ID | |
| 64159742 | KY | -- | |
| 45254 | KY | ANTHEM ID |
Post Comment/ Review Below
What is the unique provider identifier assigned to Herschel S Jackson?
The Herschel S Jackson has been issued the NPI (National Provider Identifier) 1194792796 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Herschel S Jackson is physically located?
The Herschel S Jackson is situated at the following address: 300 S 8Th St, Murray, KY 420712400.
What is the Herschel S Jackson's area of specialization and corresponding taxonomy classification?
The Herschel S Jackson's specialty field is Urology, and it falls under the taxonomy code 208800000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1194792796 to Herschel S Jackson?
The Centers for Medicare & Medicaid Services assigned the 1194792796 to Herschel S Jackson on 2006-03-02.
As of what date was the information regarding Herschel S Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Herschel S Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-12-21.
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