HERSHEL C JACKSON MD PC – NPI #1659536076
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

HERSHEL C JACKSON MD PC is a provider located in SOUTHFIELD, MI. NPPES has assigned the NPI number 1659536076 to HERSHEL C JACKSON MD PC on July 24, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 12 years ago on Oct 01, 2014. 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 HERSHEL C JACKSON MD PC below.

NPI Profile for
HERSHEL C JACKSON MD PC

NPI Number
1659536076
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
HERSHEL C JACKSON MD PC
Primary location
23077 GREENFIELD RD
#450
SOUTHFIELD, MI 48075
Phone: (248) 599-8810 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HERSHEL JACKSON
MEDICAL DOCTOR
Phone: (248) 559-8810
Updated
Identifiers

Identifiers for HERSHEL C JACKSON MD PC

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
OTHER0635321BC BS
MEDICAIDMI287072310
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
207R00000X
- Internal Medicine (Primary)
MI AJ043930

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.