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SHAWN BARRETT JACKSON MD NPI 1730258708


NPI Information

NPI: 1730258708
Provider Name: SHAWN BARRETT JACKSON, M,D,
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

PECOS Registration: Yes

Address:
1000 E PRIMROSE ST STE 550
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 269-4646
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Shawn Barrett Jackson, M,D, is an anatomic pathology and clinical pathology pathology in Springfield, MO with 26 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Shawn Barrett Jackson, M,D, NPI is 1730258708. 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:

1000 E PRIMROSE ST STE 550
SPRINGFIELD, MO
ZIP 65807-180
Phone: (417) 269-4646

The NPI 1730258708 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)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • Special stained specimen slides to examine tissue (HCPCS:88341)
  • Tissue or cell analysis by immunologic technique (HCPCS:88342)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)

The enumeration date for this NPI number is 11/6/2006 and was last updated on 5/4/2017.


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
1207ZD0900XPathologyDermatopathology2005005716MISSOURINo
2207ZP0102XPathologyAnatomic Pathology & Clinical Pathology2005005716MISSOURIYes

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
1700100407MEDICAIDMISSOURI
2705866705MEDICAIDMISSOURI
31101160OTHERMISSOURIUNITED HEALTHCARE
4431451388OTHERMISSOURIFED TAX ID-PATHOLOGY SERV
5159012OTHERMISSOURIBLUECROSSBLUESHIELD-TRI-L
6929330385MEDICARE ID-TYPE UNSPECIFIEDMISSOURIMEDICARE-PATHOLOGY SERVIC
7P00256779MEDICARE ID-TYPE UNSPECIFIEDMISSOURIRAILROAD MEDICARE-PATHOLO
8H97890MEDICARE UPINMISSOURI
9929333687MEDICARE ID-TYPE UNSPECIFIEDMISSOURIMEDICARE-TRI-LAKES PATHOL
101559OTHERMISSOURIBLUECROSSBLUESHIELD-PATHO
11929333688MEDICARE ID-TYPE UNSPECIFIEDMISSOURIMEDICARE-TRI-LAKES PATHOL
12421539307OTHERMISSOURIFED TAX ID-TRI-LAKES PATH
13P00302935MEDICARE ID-TYPE UNSPECIFIEDMISSOURIRAILROAD MEDICARE-TRI-LAK

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.