MARK A. JACKSON MD – NPI #1073585238
Family Medicine
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
MARK JACKSON is a physician located in TRAVERSE CITY, MI. NPPES has assigned the NPI number 1073585238 to MARK JACKSON on February 02, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine
The NPI profile was previously updated about 11 years ago on Oct 23, 2015. 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 MARK JACKSON below.
NPI Profile for
MARK A. JACKSON
(more than 20 years ago)
MARK A JACKSON MD PLC
TRAVERSE CITY, MI 49684 Phone: (231) 935-0913 Fax: (231) 935-0984
STE 4400
TRAVERSE CITY, MI 49684-1364 Phone: (231) 346-6930 Fax: (231) 346-6017
Identifiers for MARK 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 |
|---|---|---|---|
| OTHER | BLUE SHIELD | MA | 080B86010 |
| MEDICAID | MI | 1820487 |
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 |
|---|---|---|
| 207QG0300X - Family Medicine / Geriatric Medicine (Primary) |
MI | 4301051555 |
| 207Q00000X - Family Medicine |
MI | 051555 |
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.