JAMES JACKSON, MD LLC – NPI #1558858068
Clinic/Center

JAMES JACKSON, MD LLC is an AHC clinic located in OKLAHOMA CITY, OK. NPPES has assigned the NPI number 1558858068 to JAMES JACKSON, MD LLC on April 19, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAMES JACKSON, MD LLC below.

NPI Profile for
JAMES JACKSON, MD LLC

NPI Number
1558858068
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JAMES JACKSON, MD LLC
Primary location
3330 NW 56TH ST STE 612
OKLAHOMA CITY, OK 73112-4470
Phone: (405) 610-8810 Fax:
Mailing address
13924 QUAIL POINTE DR STE B
OKLAHOMA CITY, OK 73134-1024
Phone: (405) 896-7901 Fax: (405) 242-4074
Organization Subpart
No
Authorized Official
TAWANA HILL
CREDENTIALING SPECIALIST
Phone: (405) 896-7901
Updated
Identifiers

Identifiers for JAMES JACKSON, MD LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOK202K00000X
MEDICAIDOK2019800000X
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0400X
- Clinic/Center / Rehabilitation (Primary)		 OK 27258

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.