DR. JOHN S JACKSON M.D. NPI 1437140779

NPI Information

  • NPI: 1437140779
  • Provider Name: DR. JOHN S JACKSON, M.D.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • Address: 6445 HARRIS PKWY
    STE. 100
    FORT WORTH, TX
    ZIP 76132
  • Phone: (817) 361-6900

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NPI Details

DR. John S Jackson, M.D. is a gastroenterology internal medicine in Fort Worth, TX. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. John S Jackson, M.D. NPI is 1437140779. 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:

6445 HARRIS PKWY
STE. 100
FORT WORTH, TX
ZIP 76132-138
Phone: (817) 361-6900
Fax: (817) 263-2918

The enumeration date for this NPI number is 11/4/2005 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyE1626TEXASYes

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
185Y011OTHERBCBS
24035105OTHERAETNA
385Y011MEDICARE ID-TYPE UNSPECIFIEDTEXAS
4D66614MEDICARE 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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