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MAX JACKSON MD NPI 1255374716


NPI Information

NPI: 1255374716
Provider Name: MAX JACKSON, MD
Classification: Family Medicine - 207QG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
850 MILL ST
SUITE 100
RENO, NV
ZIP 89502
Phone: (775) 982-5000
Get Directions

Max Jackson, MD is a geriatric medicine family medicine in Reno, NV. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. Max Jackson, MD NPI is 1255374716. 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:

850 MILL ST
SUITE 100
RENO, NV
ZIP 89502-413
Phone: (775) 982-5000
Fax: (775) 982-5417

The enumeration date for this NPI number is 6/13/2006 and was last updated on 9/12/2007.


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
1207Q00000XFamily MedicineR3H65MISSOURINo
2207QG0300XFamily MedicineGeriatric Medicine12030NEVADAYes

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
1P52D122MEDICARE ID-TYPE UNSPECIFIEDMISSOURIMEDICARE B TRINITY
2P53D122MEDICARE ID-TYPE UNSPECIFIEDMISSOURIMEDICARE B - GOPPERT

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

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.