RICHARD T JACKSON D.P.M. NPI 1407859424

NPI Details

Richard T Jackson, D.P.M. is a podiatrist in Fort Wayne, IN. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Richard T Jackson, D.P.M. NPI is 1407859424. 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:

7601 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804-133
Phone: (260) 436-8686
Fax: (260) 486-8585

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.

• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)

The enumeration date for this NPI number is 5/23/2005 and was last updated on 11/7/2016.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.