SIDNEY B. JACKSON M.D. – NPI #1285603969
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

SIDNEY JACKSON is a physician located in CLARKSBURG, WV. NPPES has assigned the NPI number 1285603969 to SIDNEY JACKSON on March 16, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 14 years ago on Apr 16, 2012. 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 SIDNEY JACKSON below.

NPI Profile for
SIDNEY B. JACKSON

NPI Number
1285603969
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SIDNEY B. JACKSON
Credentials
M.D.
Primary location
1 MEDICAL CENTER DRIVE
LOUIS A JOHNSON VA HEALTH CARE SYSTEM
CLARKSBURG, WV 26301
Phone: (304) 623-3461 Fax: (304) 626-7034
Mailing address
278 RIDGEWAY DR
BRIDGEPORT, WV 26330-1152
Phone: (304) 842-3411 Fax:
Sole Proprietor
No
Updated
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
207Q00000X
- Family Medicine (Primary)
WV 11573

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.