Individual
ROBERT T JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
158297-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09-00414
UNITED HEALTHCARE
UT
01
—
107006624103
IHC
UT
01
—
200045123
PALMETTO
UT
01
—
35879
DMBA
UT
01
—
68074
PEHP
UT
05
—
870281028000
—
UT
01
—
870281028RTJ
EMIA
UT
01
—
QM0000056631
ALTIUS
UT
Enumeration date
09/06/2006
Last updated
11/02/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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