DOUGLAS T. JACKSON MD – NPI #1962472407
Anesthesiology
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
DOUGLAS JACKSON is an anesthesiologist located in NEWARK, NJ. NPPES has assigned the NPI number 1962472407 to DOUGLAS JACKSON on January 26, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207LC0200X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Critical Care Medicine
The NPI profile was previously updated about 19 years ago on Jul 08, 2007. 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 DOUGLAS JACKSON below.
NPI Profile for
DOUGLAS T. JACKSON
(more than 20 years ago)
F 102
NEWARK, NJ 07103 Phone: (973) 972-3555 Fax: (973) 972-3510
NEWARK, NJ 07191 Phone: (973) 972-3555 Fax: (973) 972-3510
Identifiers for DOUGLAS JACKSON
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | NJ | 6716407 |
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 |
|---|---|---|
| 207LC0200X - Anesthesiology / Critical Care Medicine (Primary) |
NJ | 25MA06601400 |
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.