Individual
DR. RICHARD ALLEN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
304 E LEIGH ST, RICHMOND, VA 23219-1410
(804) 225-7148
(804) 225-7159
Mailing address
304 E LEIGH ST, RICHMOND, VA 23219-1410
(804) 225-7148
(804) 225-7159
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101030877
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006044140
—
VA
01
—
041765-00000
QUAL CHOICE
VA
01
—
0542922
ANTHEM/TRIGON/HMO/PPO/HEA
VA
01
—
110054158
MCR RAILROAD
VA
01
—
44130
SENTAR
VA
01
—
491268
AETNA/HMO/PPO
VA
01
—
541588928
UNITEDHEALTHCARE
VA
01
—
541588928/4971410007
CIGNA/HMO/PPO
VA
01
—
C03251
MCR GROUP#
VA
Enumeration date
10/18/2006
Last updated
03/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us