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DR. DAVID NEAL JACKSON MD NPI 1235236308


NPI Information

NPI: 1235236308
Provider Name: DR. DAVID NEAL JACKSON, MD
Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Individual

Specialization: Maternal & Fetal Medicine

Organization: BRIAN K IRIYE MD AND ASSOCIATES LTD

PECOS Registration: Yes

Address:
1707 W CHARLESTON BLVD
#120
LAS VEGAS, NV
ZIP 89102
Phone: (702) 671-5140
Get Directions

DR. David Neal Jackson, MD is a maternal and fetal medicine obstetrics gynecology in Las Vegas, NV with 41 years of experience. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. DR. David Neal Jackson, MD NPI is 1235236308. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduation Year:1983

The provider's business location address is:

1707 W CHARLESTON BLVD
#120
LAS VEGAS, NV
ZIP 89102-351
Phone: (702) 671-5140
Fax: (702) 385-2745

The NPI 1235236308 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 enumeration date for this NPI number is 9/20/2006 and was last updated on 4/23/2021.


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
1207VM0101XObstetrics & GynecologyMaternal & Fetal Medicine12911NEVADAYes
2207VM0101XObstetrics & GynecologyMaternal & Fetal Medicine8687MONTANANo
3207VM0101XObstetrics & GynecologyMaternal & Fetal Medicine01065052AINDIANANo

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
10017663MEDICAIDMONTANA
212911OTHERNEVADASTATE LICENSE
301065052AOTHERINDIANASTATE LICENSE
48687OTHERMONTANASTATE LICENSE

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.