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DR. MICHELLE JACKSON MD NPI 1184846529


NPI Information

NPI: 1184846529
Provider Name: DR. MICHELLE JACKSON, MD
Classification: Dermatology - 207NS0135X
Entity Type: Individual

Specialization: Procedural Dermatology

Organization: DERMATOLOGIST MEDICAL GROUP OF NORTH COUNTY INC

PECOS Registration: Yes

Address:
3613 VISTA WAY
OCEANSIDE, CA
ZIP 92056
Phone: (760) 758-5340
Get Directions

DR. Michelle Jackson, MD is a procedural dermatology dermatology in Oceanside, CA with 18 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DR. Michelle Jackson, MD NPI is 1184846529. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MOREHOUSE SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

3613 VISTA WAY
OCEANSIDE, CA
ZIP 92056-522
Phone: (760) 758-5340
Fax: (760) 758-5502

The NPI 1184846529 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.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Tissue or cell analysis by immunologic technique (HCPCS:88342)
  • Special stained specimen slides to examine tissue (HCPCS:88341)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/29/2012.


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
1207ND0900XDermatologyDermatopathologyA102012CALIFORNIANo
2207NS0135XDermatologyProcedural DermatologyA102012CALIFORNIAYes

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
1GG162ZOTHERCALIFORNIAPTAN

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.