Individual
DR. DAVID SPENCER JACKSON
Active
Individual
DR. DAVID SPENCER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D35217
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0149212
CIGNA PIN
MD
01
—
018410
JHHC PROVIDER NUMBER
MD
01
—
0477972
AETNA CAPITATED
MD
01
—
060041579
RR MEDICARE
MD
01
—
318934
MAMSI SPECIALIST
MD
01
—
3509-0006
CAREFIRST BLUECHOICE
MD
01
—
398140-03
CAREFIRST MD RENDERING
MD
01
—
4238639
AETNA FEE FOR SERVICE
MD
05
—
478471500
—
MD
01
—
P528953
CAREFIRST MPOS
MD
Enumeration date
08/10/2005
Last updated
08/22/2019
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