DAVID STEVENS JACKSON MD NPI 1144219833

NPI Information

  • NPI: 1144219833
  • Provider Name: DAVID STEVENS JACKSON, MD
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • Address: 16 DANFORTH ST
    HOOSICK FALLS, NY
    ZIP 12090
  • Phone: (518) 686-5002

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NPI Details

David Stevens Jackson, MD is an internal medicine in Hoosick Falls, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. David Stevens Jackson, MD NPI is 1144219833. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16 DANFORTH ST
HOOSICK FALLS, NY
ZIP 12090-226
Phone: (518) 686-5002
Fax: (518) 686-1848

The enumeration date for this NPI number is 10/17/2005 and was last updated on 6/3/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine120359NYYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100359504MEDICAIDNEW YORK
2D05454MEDICARE ID-TYPE UNSPECIFIED
3P00010321OTHERNEW YORKRR MEDICARE
4B80690MEDICARE 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: 11/21/2025

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