1063583268 James W Jackson Jr., MD
Pain Medicine (Anesthesiology) Physician
Active
Basic Information
- Full Name
- James W Jackson Jr., MD
- Gender
- Male
- Enumeration Date
- November 11, 2006
- Last Update
- June 9, 2022
Practice Location
- Address
- 120 EXECUTIVE PARK
LOUISVILLE, KY 40207 - Phone
- (502) 855-7200
- Fax
- (502) 855-7201
Mailing Address
- Address
- PO BOX 21890
BELFAST, ME 049154115 - Phone
- (502) 907-0356
- Fax
- (502) 919-9780
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician Pain Medicine | 207LP2900X | Anesthesiology | 01062749A | IN | No |
| Interventional Pain Medicine Physician Interventional Pain Medicine | 208VP0014X | Pain Medicine | 41100 | KY | No |
| Pain Medicine (Anesthesiology) Physician Pain Medicine | 207LP2900X | Anesthesiology | 41100 | KY | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 719905 | 01 | KY | WELLCARE OF KY PROVIDER ID |
| 002903176 | 01 | N/A | UNITED HEALTHCARE PROVIDER ID NUMBER |
| 9121168 | 01 | N/A | AETNA PIN |
| 200872860 | 05 | IN | N/A |
| 000000858929 | 01 | N/A | ANTHEM PIN |
| 7100003940 | 05 | KY | N/A |
| CS1434500725 | 01 | N/A | CARESOURCE ID |
| 135386KYIP | 01 | KY | AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER |
Additional Practice Locations
1107 Crown Pointe Dr Ste 107
Elizabethtown, KY 427017280
Elizabethtown, KY 427017280
Phone: (270) 506-3300
Fax: (270) 506-2843
530 S Jackson St
Louisville, KY 402021675
Louisville, KY 402021675
Phone: (502) 852-6901
Fax: (502) 852-6056
Digital Endpoints
DIRECT
james.jackson.1@16521.direct.athenahealth.com
DIRECT
james.jackson.1@16521.direct.athenahealth.com
Frequently Asked Questions
What is James W Jackson Jr., MD's NPI number?
James W Jackson Jr., MD's NPI number is 1063583268.
Which doctor has NPI number 1063583268?
The doctor with NPI number 1063583268 is James W Jackson Jr., MD.
What is James W Jackson Jr., MD's practice address?
James W Jackson Jr., MD's practice address is 120 EXECUTIVE PARK, LOUISVILLE, KY, 40207.
Which doctor practices at 120 EXECUTIVE PARK, LOUISVILLE, KY, 40207?
James W Jackson Jr., MD practices at 120 EXECUTIVE PARK, LOUISVILLE, KY, 40207.
What is James W Jackson Jr., MD's mailing address?
James W Jackson Jr., MD's mailing address is PO BOX 21890, BELFAST, ME, 049154115.
What is James W Jackson Jr., MD's phone number?
James W Jackson Jr., MD's phone number is (502) 855-7200.
Who is (502) 855-7200?
(502) 855-7200 is the phone number for James W Jackson Jr., MD.
What is James W Jackson Jr., MD's specialty?
James W Jackson Jr., MD's specialty is Pain Medicine (Anesthesiology) Physician.
What type of doctor is James W Jackson Jr., MD?
James W Jackson Jr., MD is a Pain Medicine (Anesthesiology) Physician.
Is James W Jackson Jr., MD a Pain Medicine?
Yes, James W Jackson Jr., MD is a Pain Medicine.
Is James W Jackson Jr., MD still practicing?
Yes, James W Jackson Jr., MD is currently practicing.
Is James W Jackson Jr., MD accepting new patients?
James W Jackson Jr., MD may be accepting new patients. Please call their office at (502) 855-7200 to inquire about availability.
Is NPI 1063583268 still active?
Yes, NPI 1063583268 is currently active.
Where does James W Jackson Jr., MD practice?
James W Jackson Jr., MD practices in LOUISVILLE, KY.
Is James W Jackson Jr., MD a male or female doctor?
James W Jackson Jr., MD is a male doctor.