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JAMES W JACKSON MD NPI 1063583268


NPI Information

NPI: 1063583268
Provider Name: JAMES W JACKSON, MD
Classification: Anesthesiology - 207LP2900X
Entity Type: Individual

Specialization: Pain Medicine

Organization: COMMONWEALTH PAIN ASSOCIATES PLLC

PECOS Registration: Yes

Address:
120 EXECUTIVE PARK
LOUISVILLE, KY
ZIP 40207
Phone: (502) 855-7200
Get Directions

James W Jackson, MD is a pain medicine anesthesiology in Louisville, KY with 22 years of experience. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. James W Jackson, MD NPI is 1063583268. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

120 EXECUTIVE PARK
LOUISVILLE, KY
ZIP 40207
Phone: (502) 855-7200
Fax: (502) 855-7201

The NPI 1063583268 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.

  • Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter (HCPCS:G0434)
  • Urinalysis, manual test (HCPCS:81002)
  • Injections of substances into lower or sacral spine (HCPCS:62311)
  • Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64494)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

The enumeration date for this NPI number is 11/11/2006 and was last updated on 1/12/2021.


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
1207LP2900XAnesthesiologyPain Medicine41100KENTUCKYYes
2207LP2900XAnesthesiologyPain Medicine01062749AINDIANANo
3208VP0014XPain MedicineInterventional Pain Medicine41100KENTUCKYNo

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
1000000858929OTHERANTHEM PIN
2002903176OTHERUNITED HEALTHCARE PROVIDER ID NUMBER
37100003940MEDICAIDKENTUCKY
4135386KYIPOTHERKENTUCKYAETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
5719905OTHERKENTUCKYWELLCARE OF KY PROVIDER ID
6200872860MEDICAIDINDIANA
79121168OTHERAETNA PIN
8CS1434500725OTHERCARESOURCE ID

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.