LARRY A. JACKSON, MD PC – NPI #1134565849
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

LARRY A. JACKSON, MD PC is a provider located in SPRINGFIELD, OR. NPPES has assigned the NPI number 1134565849 to LARRY A. JACKSON, MD PC on May 21, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

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 LARRY A. JACKSON, MD PC below.

NPI Profile for
LARRY A. JACKSON, MD PC

NPI Number
1134565849
Enumeration Date

(more than 13 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
LARRY A. JACKSON, MD PC
Primary location
1717 CENTENNIAL BLVD
SUITE 7
SPRINGFIELD, OR 97477-3378
Phone: (541) 726-0550 Fax: (541) 726-7485
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LARRY JACKSON
PRESIDENT
Phone: (541) 726-0550
Updated
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
208D00000X
- General Practice (Primary)		 OR 08513

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.