Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS L JACKSON, M.D.
Active Sole ProprietorDR. THOMAS L JACKSON, M.D. is a Specialist healthcare provider located in COLUMBUS, Indiana. NPI 1154308997 is currently active in the NPPES registry. Verify at CMS.
Specialist · COLUMBUS, IN
Registration Details
- NPI Number
- 1154308997
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 22, 2005 (20.624829921307 yrs)
- Last Updated
- Aug 2, 2010
- License
-
01046379A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2450 N PARK DRCOLUMBUS, IN, 472032216Browse IN providers · Browse ZIP 47203
- Phone
- 8123768997
- Fax
- 8123735323
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in COLUMBUS, IN
| Name | Credential | NPI |
|---|---|---|
| MR. STEPHEN ANDREW SOUDER | ATC | 1851353130 |
| DOUGLAS Y ROESE | MD | 1699889162 |
| FREDERICK G SHEDD | MD | 1700990256 |
| MS. ANGELA CLARE MEYER | OTR | 1528137387 |
| MS. BETSY ALEEN LONG | OTR | 1093884868 |
| MS. CARLA RAE RUCH | PT | 1497824247 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.