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JACKSON SURGICAL ASSOCIATES. PA NPI 1932154713


NPI Information

NPI: 1932154713
Provider Name: JACKSON SURGICAL ASSOCIATES. PA
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
395 HOSPITAL BLVD
JACKSON, TN
ZIP 38305
Phone: (731) 664-7395
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JACKSON SURGICAL ASSOCIATES. PA is a surgery in Jackson, TN. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. JACKSON SURGICAL ASSOCIATES. PA NPI is 1932154713. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

395 HOSPITAL BLVD
JACKSON, TN
ZIP 38305-080
Phone: (731) 664-7395
Fax: (731) 664-0057

The provider's authorized official is Sally Webster .
The authorized official title is Office Manager and has the following contact phone number (731) 664-7395.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 10/22/2007.


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
1208600000XSurgery9997TENNESSEEYes

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
11356346142OTHERTENNESSEENPI
23053968MEDICAIDTENNESSEE
33089277MEDICAIDTENNESSEE
43862742MEDICARE PINTENNESSEE
51376548503OTHERTENNESSEENPI
63060477OTHERTENNESSEEBLUE CROSS
7E68846MEDICARE UPINTENNESSEE
8E50713MEDICARE UPINTENNESSEE
93862742MEDICAIDTENNESSEE
10107276OTHERTENNESSEEBLUE CROSS
114005486OTHERTENNESSEEBLUE CROSS
12H34225MEDICARE UPINTENNESSEE
131609871821OTHERTENNESSEENPI
143089279MEDICARE PINTENNESSEE
153053969MEDICARE PINTENNESSEE

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: 4/28/2024

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