DOREEN O. JACKSON MD – NPI #1649615287
Colon & Rectal Surgery
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
DOREEN JACKSON is a colon & rectal surgeon located in TRAVIS AFB, CA. NPPES has assigned the NPI number 1649615287 to DOREEN JACKSON on May 09, 2013. 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 208C00000X from the Health Care Provider Taxonomy code set, which is classified as Colon & Rectal Surgery.
The NPI profile was previously updated about 4 years ago on Aug 19, 2022. 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 DOREEN JACKSON below.
NPI Profile for
DOREEN O. JACKSON
(more than 13 years ago)
TRAVIS AFB, CA 94535-1800 Phone: (919) 753-6879 Fax:
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
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 |
|---|---|---|
| 208C00000X - Colon & Rectal Surgery (Primary) |
CA | 171636 |
| 208D00000X - General Practice |
NC | 204413 |
| 208600000X - Surgery |
CA | 171636 |
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
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