Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
T. SCOTT JACKSON
Active
Individual
T. SCOTT JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD029835E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010105110006
—
PA
01
—
117553
BLUE SHIELD
PA
01
—
50051189
CAPITAL BLUE
PA
01
—
P002396
GATEWAY
PA
Enumeration date
07/03/2006
Last updated
01/12/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up