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DR. ROBERT SEAN JACKSON M.D. NPI 1174551808


NPI Information

NPI: 1174551808
Provider Name: DR. ROBERT SEAN JACKSON, M.D.
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Individual

Specialization: Orthopaedic Surgery of the Spine

Organization: KANSAS UNIVERSITY PHYSICIANS INC

PECOS Registration: Yes

Address:
3901 RAINBOW BLVD
UNIVERSITY OF KANSAS MEDICAL CENTER
KANSAS CITY, KS
ZIP 66160
Phone: (913) 588-6100
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DR. Robert Sean Jackson, M.D. is an orthopaedic surgery of the spine orthopaedic surgery in Kansas City, KS with 31 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. DR. Robert Sean Jackson, M.D. NPI is 1174551808. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:1993

The provider's business location address is:

3901 RAINBOW BLVD
UNIVERSITY OF KANSAS MEDICAL CENTER
KANSAS CITY, KS
ZIP 66160-000
Phone: (913) 588-6100
Fax: (913) 588-8186

The NPI 1174551808 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Partial removal of spine bone with release of spinal cord and/or nerves (HCPCS:63048)
  • Partial removal of middle spine bone with release of spinal cord and/or nerves (HCPCS:63047)
  • Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments (HCPCS:22842)

The enumeration date for this NPI number is 6/29/2006 and was last updated on 6/23/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery118992MISSOURINo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine118992MISSOURINo
3207X00000XOrthopaedic Surgery04-2105KANSASNo
4207X00000XOrthopaedic Surgery0428105KANSASNo
5207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine0428105KANSASNo
6207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine04-2105KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11826450OTHERUNITED HEALTH CARE
2200035390MEDICARE ID-TYPE UNSPECIFIEDRR MEDICARE
31159930MEDICARE PINMISSOURI
40447460003MEDICARE NSCKANSAS
51159930AMEDICARE PINKANSAS
625755019OTHERBCBS KC
77665523OTHERAETNA
8P00027378MEDICARE ID-TYPE UNSPECIFIEDKANSASRR MEDICARE KS
925755019OTHERBCBS OTHER
10G75359MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.