MD James W Jackson JR., NPI 1063583268
Pain Medicine (Anesthesiology) Physician in Louisville, KY, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1063583268 |
| NPI Entity Type | Individual |
| Provider Name | MD James W Jackson JR. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 120 Executive Park, Louisville, KY, US |
| Provider Mailing Address | Po Box 21890, Belfast, ME, US, 049154115 |
| Gender | Male |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pain Medicine (Anesthesiology) Physician |
| Classification | |
| Group | |
| License No. | 41100 |
| License State | KY |
| Description | An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 01062749A | IN | No | |||
| 41100 | KY | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 719905 | KY | WELLCARE OF KY PROVIDER ID | 01 |
| 002903176 | UNITED HEALTHCARE PROVIDER ID NUMBER | 01 | |
| 9121168 | AETNA PIN | 01 | |
| 200872860 | IN | MEDICAID | 05 |
| 000000858929 | ANTHEM PIN | 01 | |
| 7100003940 | KY | MEDICAID | 05 |
| CS1434500725 | CARESOURCE ID | 01 | |
| 135386KYIP | KY | AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER | 01 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| DIRECT | [email protected] | No | 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY, US | |||
| DIRECT | [email protected] | No | 120 Executive Park, Louisville, KY, US |
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| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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Lake Cumberland Regional Hospital Llc Organization |
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APRN Chelsey Sievert Individual |
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APRN Mary Mitchell Individual |
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Goben Family Care Llc Organization |
7139 State Route 56 E |
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M.D. Michael Crum Individual |
911 Bypass Rd Bldg A |
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Sarah L Young Individual |
601 Lincoln Park Rd |
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D.O. William B Webb Individual |
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PA-C Brittney R. Judhan Individual |
911 Bypass Rd Bldg A |
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MD Brett E Jarrell Individual |
911 Bypass Rd Bldg A |
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APRN Danny Brent Newsome Individual |
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DO John M Fleming Individual |
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