ALTHEA J. JACKSON M.D. – NPI #1306838321
Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
ALTHEA JACKSON is a physician located in FORT WAYNE, IN. NPPES has assigned the NPI number 1306838321 to ALTHEA JACKSON on August 16, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.
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 ALTHEA JACKSON below.
NPI Profile for
ALTHEA J. JACKSON
(about 21 years ago)
SUITE 100
FORT WAYNE, IN 46825-1600 Phone: (260) 490-9883 Fax: (260) 490-0064
SUITE 507
NORRISTOWN, PA 19401-3353 Phone: (610) 279-9003 Fax: (610) 270-2654
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 |
|---|---|---|
| 207V00000X - Obstetrics & Gynecology (Primary) |
IN | 01052580A |
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.