PAMELA D. RANDOLPH JACKSON MD – NPI #1801813407
Radiology
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
PAMELA RANDOLPH JACKSON is a radiologist located in WASHINGTON, DC. NPPES has assigned the NPI number 1801813407 to PAMELA RANDOLPH JACKSON on July 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology
The NPI profile was previously updated about 14 years ago on Dec 23, 2011. 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 PAMELA RANDOLPH JACKSON below.
NPI Profile for
PAMELA D. RANDOLPH JACKSON
(about 20 years ago)
WASHINGTON, DC 20010 Phone: (800) 353-0788 Fax: (804) 355-6031
BOWIE, MD 20720 Phone: (301) 262-1528 Fax: (804) 355-6031
Identifiers for PAMELA RANDOLPH 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 |
|---|---|---|---|
| MEDICAID | VA | 010150469 |
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 |
|---|---|---|
| 2085R0001X - Radiology / Radiation Oncology (Primary) |
DC | DC 19357 |
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
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
PAMELA RANDOLPH JACKSON is affiliated with the following medical group(s):
- HOSPITAL
- MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL3800 RESERVOIR RD
WASHINGTON, DC 20007 - MEDSTAR WASHINGTON HOSPITAL CENTER110 IRVING STREET NW
WASHINGTON, DC 20010
- MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL3800 RESERVOIR RD
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