Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS R JACKSON, MD
ActiveDR. THOMAS R JACKSON, MD is a Interventional Vascular Surgery healthcare provider located in SCHENECTADY, New York. NPI 1790765667 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · SCHENECTADY, NY
Registration Details
- NPI Number
- 1790765667
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2006 (20.600252063138 yrs)
- Last Updated
- Jul 17, 2025
- Licenses
-
MT179687 (PA)MD13171 (RI)2011-00970 (NC)MD13171 (RI)246110 (NY)
Practice Information
- Address
-
500 STATE STSCHENECTADY, NY, 123052414Browse NY providers · Browse ZIP 12305
- Phone
- 5184892663
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Pain Medicine (PM&R)
- Additional Specialty
- Interventional Vascular Surgery
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.