SHAWN BARRETT JACKSON MD NPI 1730258708

NPI Information

  • NPI: 1730258708
  • Provider Name: SHAWN BARRETT JACKSON, M,D,
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1000 E PRIMROSE ST STE 550
    SPRINGFIELD, MO
    ZIP 65807
  • Phone: (417) 269-4646

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NPI Details

Shawn Barrett Jackson, M,D, is an anatomic pathology and clinical pathology pathology in Springfield, MO with 27 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, intermediate complexity (HCPCS:88305)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Cell examination of specimen, selective cellular enhancement technique (HCPCS:88112)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Pathology examination of tissue using a microscope, limited examination (HCPCS:88300)
  • Examination of archival tissue for genetic analysis (HCPCS:88363)
  • Biopsy and aspiration of bone marrow sample for diagnosis (HCPCS:38222)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Pathology examination of tissue using a microscope, high complexity (HCPCS:88309)
  • Crystal identification from tissue or body fluid (HCPCS:89060)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 3/30/2025

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