Organization
DAVID L. JACKSON, M.D., PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L. JACKSON M.D. (PRESIDENT)
(859) 367-7110
Entity
Organization
Contact information
Practice address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 367-7110
(859) 367-7138
Mailing address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 367-7110
(859) 367-7138
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
24005
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050829
ANTHEM B/C & B/S PIN
KY
01
—
2300002
UNITED HEALTHCARE PIN
KY
05
—
65925463
—
KY
01
—
C66084
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
07/12/2005
Last updated
02/03/2009
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