MARK A JACKSON MD PLC – NPI #1740439025
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.

Health Care Provider Taxonomy Code for Family Medicine

MARK A JACKSON MD PLC is a provider located in TRAVERSE CITY, MI. NPPES has assigned the NPI number 1740439025 to MARK A JACKSON MD PLC on September 11, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 17 years ago on Dec 18, 2008. 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 A JACKSON MD PLC below.

NPI Profile for
MARK A JACKSON MD PLC

NPI Number
1740439025
Enumeration Date

(about 18 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
MARK A JACKSON MD PLC
Primary location
1000 PAVILLIONS CIR
TRAVERSE CITY, MI 49684-3198
Phone: (231) 935-0913 Fax: (231) 935-0984
Mailing address
PO BOX 1267
TRAVERSE CITY, MI 49685-1267
Phone: (231) 935-0913 Fax: (231) 935-0984
Organization Subpart
No
Authorized Official
MARK JACKSON
PHYSICIAN/OWNER
Phone: (231) 935-0913
Updated
Identifiers

Identifiers for MARK A JACKSON MD PLC

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBCBS GROUP ID#MI0B81350
OTHERBCBS ID#MI080B813500
OTHERBCBS PIN#MI0802802421
OTHERGROUP NPIMI1740439025
OTHERIND NPIMI1073585238
OTHERMEDICARE GROUPMI0MI1114
OTHERMEDICARE IND PTANMIMI1114001
MEDICAIDMI1073585238
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
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)		 MI 4301051555

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.