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DR. LANCE ELLIOT JACKSON M.D. F.A.C.S. NPI 1174554521


NPI Information

NPI: 1174554521
Provider Name: DR. LANCE ELLIOT JACKSON, M.D., F.A.C.S.
Classification: Otolaryngology - 207YX0901X
Entity Type: Individual

Specialization: Otology & Neurotology

Organization: EAR INSTITUTE OF TEXAS P A

PECOS Registration: Yes

Address:
18518 HARDY OAK
SUITE 300
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 696-4327
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DR. Lance Elliot Jackson, M.D., F.A.C.S. is an otology and neurotology otolaryngology in San Antonio, TX with 29 years of experience. The provider is an otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. DR. Lance Elliot Jackson, M.D., F.A.C.S. NPI is 1174554521. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

18518 HARDY OAK
SUITE 300
SAN ANTONIO, TX
ZIP 78258-271
Phone: (210) 696-4327
Fax: (210) 798-2509

The NPI 1174554521 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.

  • Preparation and provision of single or multiple antigens for allergen immunotherapy (HCPCS:95165)
  • Injection of allergenic extracts into skin, accessed through the skin (HCPCS:95004)
  • Injection of incremental dosages of allergen, 2 or more injections (HCPCS:95117)
  • Assessment and recording of balance system during irrigation of both ears (HCPCS:92543)
  • Air and bone conduction assessment of hearing loss and speech recognition (HCPCS:92557)
  • Eardrum testing using ear probe (HCPCS:92567)
  • Observation, testing, and recording of abnormal eye movement (HCPCS:92540)
  • Assessment of eardrum and muscle function (HCPCS:92550)
  • Removal of impact ear wax, one ear (HCPCS:69210)

The enumeration date for this NPI number is 7/5/2006 and was last updated on 1/25/2013.


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
1174400000XSpecialistL5777TEXASNo
2207Y00000XOtolaryngologyL5777TEXASNo
3207YX0602XOtolaryngologyOtolaryngic AllergyL5777TEXASNo
4207YX0901XOtolaryngologyOtology & NeurotologyL5777TEXASYes

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
1P00019999OTHERTEXASRAILROAD MEDICARE
28A4882MEDICARE ID-TYPE UNSPECIFIEDTEXAS
3H19077MEDICARE UPINTEXAS
48H5000OTHERTEXASBLUE SHIELD
57047136OTHERTEXASAETNA
6157518501MEDICAIDTEXAS
7MDL5777OTHERTEXASWORKERS COMP

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.