Individual
DR. THOMAS R JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 STATE ST, SCHENECTADY, NY 12305-2414
(518) 489-2663
Mailing address
121 EVERETT RD, ALBANY, NY 12205-1474
(518) 489-2663
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2011-00970
NC
208100000X
Physical Medicine & Rehabilitation Physician
MD13171
RI
208100000X
Physical Medicine & Rehabilitation Physician
MT179687
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD13171
RI
208VP0014X
Interventional Pain Medicine Physician
Primary
246110
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04074237
—
NY
05
—
1790765667
—
NC
05
—
5918134
—
NC
05
—
NC1445
—
SC
05
—
TJ79199
—
RI
Enumeration date
01/18/2006
Last updated
07/17/2025
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